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

Matthew D Wade, ATC

Individual provider Athletic Trainer · NPI 1306304647

Matthew D Wade, ATC is an Athletic Trainer in LA Mirada, California. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

14131 Fonseca Ave
LA Mirada, CA 90638-3919
Phone: (562) 704-9957
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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 number1306304647
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorYes
NPI enumeratedMarch 5, 2019
Last updated in NPPESMarch 5, 2019
Mailing address14131 Fonseca Ave, La Mirada, CA 90638-3919

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