JENNESE BACON
NPI 1972085983
Specialist/Technologist - Athletic Trainer in Inglewood, CA

Active since September 06, 2018
10932 CASIMIR AVE, INGLEWOOD, CA 90303(323) 807-6945 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2025, Sep 6, 2018 (2 updates tracked since 2018).

About Jennese Bacon NPPES

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

JENNESE BACON (NPI 1972085983) is an individual athletic trainer provider in Inglewood, California and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1972085983
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameJENNESE BACON
Location Address10932 CASIMIR AVEInglewood, CA 90303
Mailing Address10932 Casimir AveInglewood, CA 90303-2512
Sole ProprietorNo
Enumeration DateSeptember 6, 2018
Last NPPES UpdateDecember 10, 20252 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
NPI 1972085983 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 ListedDoulaTaxonomy 374J00000X
10932 CASIMIR AVE, Inglewood, CA 90303

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 Jennese Bacon's NPI number?

The NPI number for Jennese Bacon is 1972085983. It was assigned to this individual provider in the NPPES registry on September 6, 2018.

Where is Jennese Bacon located?

Jennese Bacon practices at 10932 Casimir Ave, Inglewood, CA 90303. The listed phone number is (323) 807-6945.

What is Jennese Bacon'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 Jennese Bacon was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.