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Ethan Kreiswirth, MA, ATC
NPI 1336249978 · Specialist · Carson, CA
Ethan Kreiswirth, MA, ATC is a Specialist provider in Carson, CA (NPI 1336249978).
Provider details
- NPI number
- 1336249978
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MA, ATC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Cal State Dominguez Hls
1000 E. Victoria St.
Carson, CA 90747-0001
Phone: (310) 243-3894
Approximate (ZIP-level) locationGet directions
Mailing address
5361 W 126th St
Hawthorne, CA 90250-4128
Registry dates
- Enumerated
- 2006-09-24
- Last updated
- 2007-07-08
Frequently asked questions
- What is Ethan Kreiswirth's NPI number?
- Ethan Kreiswirth's National Provider Identifier (NPI) is 1336249978, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Kreiswirth's specialty?
- Ethan Kreiswirth is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Ethan Kreiswirth located?
- Ethan Kreiswirth's practice location on file with NPPES is Cal State Dominguez Hls, Carson, CA 90747-0001.
- What is Ethan Kreiswirth's phone number?
- The practice phone number listed in the NPPES registry for Ethan Kreiswirth is (310) 243-3894.
- Is Ethan Kreiswirth's NPI active?
- Yes — Ethan Kreiswirth's NPI (1336249978) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.