JENNESE BACON
NPI 1972085983
Specialist/Technologist - Athletic Trainer in Inglewood, CA
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
Specialties & Licenses 2
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.