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DIEGO MALDONADO QUEZADA
NPI 1679266308
Specialist/Technologist - Athletic Trainer in Moscow, ID

Active since May 30, 2023
875 PERIMETER DR, MOSCOW, ID 83844(208) 885-6111 Get Directions Write a Review

NPPES record last updated: August 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diego Maldonado Quezada NPPES

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

DIEGO MALDONADO QUEZADA (NPI 1679266308) is an individual athletic trainer provider in Moscow, Idaho, licensed in California (2000057806) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1679266308
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameDIEGO MALDONADO QUEZADA
Location Address875 PERIMETER DRMoscow, ID 83844-9803
Mailing Address604 W A St Apt BMoscow, ID 83843-2198
Phone(208) 885-6111
Sole ProprietorNo
Enumeration DateMay 30, 2023
Last NPPES UpdateAugust 2, 2025
NPPES CertifiedAugust 2, 2025
✔ NPI 1679266308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in CA · 2000057806
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 ListedSpecialist/TechnologistTaxonomy 235500000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
875 PERIMETER DR, Moscow, ID 83844
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Other Providers at the Same Location NPPES 20

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

JORDAN KOPSHO
Student in an Organized Health Care Education/Training Program
875 PERIMETER DR
MOSCOW, ID 83844
Latah County (208) 885-6111
NATSUMI KURIBAYASHI LAT, ATC
Specialist/Technologist (Athletic Trainer)
875 PERIMETER DR
MOSCOW, ID 83844
Latah County (208) 885-0256
LOGAN FREDERICK PRINS
Specialist/Technologist (Athletic Trainer)
875 PERIMETER DR
MOSCOW, ID 83844
Latah County (816) 868-1839
VANESSA NICOLE PADILLA
Student in an Organized Health Care Education/Training Program
875 PERIMETER DR
MOSCOW, ID 83844
Latah County (208) 885-6111
HUNTER AUGUSTUS CONNOLLEY
Specialist/Technologist (Athletic Trainer)
875 PERIMETER DR
MOSCOW, ID 83844
Latah County (208) 885-6111
BROOKE LOPEZ
Student in an Organized Health Care Education/Training Program
875 PERIMETER DR
MOSCOW, ID 83844
Latah County (208) 885-6111
NASIHA IFTIAZ
Student in an Organized Health Care Education/Training Program
875 PERIMETER DR
MOSCOW, ID 83844
Latah County (208) 885-6111
TAIYLER JADE SODERQUIST ATC, NREMT
Specialist/Technologist (Athletic Trainer)
875 PERIMETER DR
MOSCOW, ID 83844
Latah County (208) 885-6111

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 Diego Maldonado Quezada's NPI number?

The NPI number for Diego Maldonado Quezada is 1679266308. It was assigned to this individual provider in the NPPES registry on May 30, 2023.

Where is Diego Maldonado Quezada located?

Diego Maldonado Quezada practices at 875 Perimeter Dr, Moscow, ID 83844. The listed phone number is (208) 885-6111.

What is Diego Maldonado Quezada'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 Diego Maldonado Quezada was last updated on August 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.