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

Kelvin Miguel Maradiaga

Individual provider Athletic Trainer · NPI 1982469003

Kelvin Miguel Maradiaga is an Athletic Trainer in Montclair, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

11165 Kimberly Ave
Montclair, CA 91763-6331
Phone: (626) 364-6686
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1982469003
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 19, 2024
Last updated in NPPESFebruary 19, 2024
Certification dateFebruary 17, 2024

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