Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Sukumarn Sarah Mingviriya, MSHS, PA-C, ATRET

Individual provider Athletic Trainer · NPI 1861601437

MS. Sukumarn Sarah Mingviriya, MSHS, PA-C, ATRET is an Athletic Trainer in Fremont, California. Licensed in California and New York. Registered with an NPI since 2007.

Licensed in
CA, NY
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

39400 Paseo Padre Pkwy
Fremont, CA 94538-2310
Phone: (510) 248-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 53437 (CA)
Athletic Trainer Taxonomy 2255A2300X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 015283 (NY)

Record details

NPI number1861601437
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSHS , PA-C , ATRET
Sole proprietorNo
NPI enumeratedMay 21, 2007
Last updated in NPPESJanuary 3, 2022

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