MARC IAN KRAIDMAN NPI 1417456104

NPI Information

  • NPI: 1417456104
  • Provider Name: MARC IAN KRAIDMAN
  • Classification: Specialist/Technologist - 2255A2300X
  • Specialization: Athletic Trainer
  • Entity Type: Individual
  • Address: 1725 HILLSDALE RD
    EL CAJON, CA
    ZIP 92019
  • Phone: (661) 309-5111

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NPI Details

Marc Ian Kraidman is an athletic trainer specialist technologist in El Cajon, CA. The provider is athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. Marc Ian Kraidman NPI is 1417456104. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1725 HILLSDALE RD
EL CAJON, CA
ZIP 92019-743
Phone: (661) 309-5111

The enumeration date for this NPI number is 2/8/2018 and was last updated on 8/1/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1146N00000XEmergency Medical Technician, BasicE127837CALIFORNIANo
22255A2300XSpecialist/TechnologistAthletic Trainer2000033002Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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