IndividualActive
Trevor Addison, ATC
NPI 1295264653 · Sports Medicine (Emergency Medicine) Physician · Fremont, CA
Provider details
- NPI number
- 1295264653
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2000026911 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1620 Pajaro Ct.
Fremont, CA 94539
Phone: (510) 673-2085
Approximate (ZIP-level) locationGet directions
Mailing address
1620 Pajaro Ct
Fremont, CA 94539-4430
Registry dates
- Enumerated
- 2017-06-08
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.