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MICAH EBANCULLA
NPI 1518469378
Specialist/Technologist - Athletic Trainer in Long Beach, CA

Active since March 07, 2018
1600 ATLANTIC AVE, LONG BEACH, CA 90813(562) 591-0581 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 3, 2021, Mar 7, 2018 (2 updates tracked since 2018).

About Micah Ebanculla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICAH EBANCULLA (NPI 1518469378) is an individual athletic trainer provider in Long Beach, California and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1518469378
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMICAH EBANCULLA
Location Address1600 ATLANTIC AVELong Beach, CA 90813-2017
Mailing Address5503 Pimenta AveLakewood, CA 90712-1743
Phone(562) 591-0581
Sole ProprietorNo
Enumeration DateMarch 7, 2018
Last NPPES UpdateMay 3, 20212 updates tracked since enumeration
NPPES CertifiedApril 22, 2021
✔ NPI 1518469378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1600 ATLANTIC AVE, Long Beach, CA 90813
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVION WHITE MA, ATC, PES, CES
Specialist/Technologist (Athletic Trainer)
1600 ATLANTIC AVE
LONG BEACH, CA 90813
Los Angeles County (526) 591-0581
MRS. CARLA ASTRID GALVEZ MSW
Social Worker
1600 ATLANTIC AVE
LONG BEACH, CA 90813
Los Angeles County (562) 591-0581
THE GUIDANCE CENTER
Community/Behavioral Health
1600 ATLANTIC AVE
LONG BEACH, CA 90813
Los Angeles County (562) 595-1159

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Micah Ebanculla's NPI number?

The NPI number for Micah Ebanculla is 1518469378. It was assigned to this individual provider in the NPPES registry on March 7, 2018.

Where is Micah Ebanculla located?

Micah Ebanculla practices at 1600 Atlantic Ave, Long Beach, CA 90813. The listed phone number is (562) 591-0581.

What is Micah Ebanculla's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Micah Ebanculla was last updated on May 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.