Mr. Michael Tillery, ATC
Mr. Michael Tillery is a Athletic Trainer provider (Specialist/Technologist) practicing in Lompoc, CA, registered in the NPPES registry with NPI 1164980694 since 2019.
✓ Active NPI ✓ Valid NPI checksum Sole proprietor
| NPI | 1164980694 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mr. Michael Tillery |
| Credential | ATC |
| Sex | Male |
| Practice address | Lompoc, CA, 93436 |
| Phone | 8057422900 |
| Fax | 8957422917 |
| Enumeration date | 2019-03-04 |
| Last updated in NPPES | 2019-03-04 |
Street address withheld — NPPES sole-proprietor addresses can be home addresses. See our data policy.
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2255A2300X | Athletic Trainer | Primary | 070402516 | CA |
Copy-ready billing details
Provider: Michael Tillery, ATC NPI: 1164980694 Taxonomy: 2255A2300X (Athletic Trainer) Address: Lompoc, CA, 93436
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1396347639 | Amanda Adams | Individual | School Counselor | Lompoc, CA |
| 1609666213 | Marion Vasquez | Individual | School Counselor | Lompoc, CA |
| 1649060260 | Amber Munden-Manko | Individual | School Counselor | Lompoc, CA |
| 1629869268 | Brianne Jory | Individual | School Counselor | Lompoc, CA |
| 1407647084 | Paula Hannaford | Individual | School Counselor | Lompoc, CA |
Verify this record
Cross-check NPI 1164980694 against the authoritative CMS record: view Mr. Michael Tillery on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-03-04.