Michael Kelly Carter
Specialist/Technologist, Athletic Trainer in Northridge, CA. Individual provider (NPI-1).
NPI number1013574201
StatusActive
Last updated in NPPESMay 22, 2019
Details
- NPI
- 1013574201
- Entity type
- Individual (NPI-1)
- Name
- Michael Kelly Carter
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 22, 2019
- Last updated
- May 22, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
1811 Nordoff StreetNorthridge, CA 91330-0001
Phone 818-677-1200
Mailing address
2359 Moreno DrCamarillo, CA 93010-2148
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 37 Athletic Trainer providers in Northridge · All 3,607 providers in Northridge
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