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

Mrs. Alise Marie Juanes, ATC

Individual provider Athletic Trainer · NPI 1144597907

Mrs. Alise Marie Juanes, ATC is an Athletic Trainer in Costa Mesa, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
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

55 Fair Dr Attn: Athletics
Costa Mesa, CA 92626-6520
Phone: (714) 556-3610
Fax: (714) 662-5259
Show map & directions

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

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X (CA)

Record details

NPI number1144597907
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedNovember 22, 2011
Last updated in NPPESNovember 22, 2011

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