Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jose Tienda, MS, ATC, CES

Individual provider Athletic Trainer · NPI 1629438742

Jose Tienda, MS, ATC, CES is an Athletic Trainer in Stockton, California. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
MS — Master of Science
A graduate science degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

530 W Willow St
Stockton, CA 95203-1834
Phone: (209) 639-1408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1629438742
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , ATC , CES
Sole proprietorYes
NPI enumeratedMarch 2, 2016
Last updated in NPPESMarch 2, 2016

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