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

Sophia Gabrielle Crisostomo Balmaceda

Individual provider Athletic Trainer · NPI 1770341679

Sophia Gabrielle Crisostomo Balmaceda is an Athletic Trainer in Fremont, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

34069 Gannon Ter
Fremont, CA 94555-1941
Phone: (510) 688-8155
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 number1770341679
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 6, 2024
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024

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