Individual provider Active NPI

Maria Thi Trinh, PA-C

  • Medical Physician Assistant
  • Pasadena, CA
National Provider Identifier
1023369667
Registry record updated Apr 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
22563 Issued in CA
Practice address
473 N Fair Oaks Ave
Pasadena, CA 91103-3621
Phone
(626) 792-2378
NPI assigned
Sep 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 22563 CA Primary

Addresses

Primary practice location

473 N Fair Oaks Ave
Pasadena, CA 91103-3621

Mailing address

724 E Merced Ave
West Covina, CA 91790-5142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121119000384 CA Practitioner - Physician Assistant 8022269182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin and Beauty Center IncGroup PAC ID 8628170347, 34 clinicians

Practice addresses (Care Compare)

301 S Fair Oaks Ave
Suite 302
Pasadena, CA 91105-2562
Phone (626) 792-2378

9535 Reseda Blvd
Suite 304
Northridge, CA 91324-6029
Phone (818) 886-3884

Merit-based Incentive Payment System (MIPS)

Final score
93.23 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northridge Dermatology Associates Medical Group Inc Current Accepting new patients
Skin and Beauty Center (SBC), Inc. CurrentSince Oct 19, 2019 Accepting new patients
Skin and Beauty Center Inc CurrentSince Oct 19, 2019 Accepting new patients
Gabriele Aesthetics Inc Past Accepting new patients

Locations

8950 W Olympic Blvd
Ste 171
Beverly Hills, CA 90211

191 S Buena Vista St
Ste 475
Burbank, CA 91505
Phone (818) 322-0126

9535 Reseda Blvd
Ste 304
Northridge, CA 91324
Phone (818) 886-3884

301 S Fair Oaks Ave
Ste 302
Pasadena, CA 91105
Phone (626) 792-2378

473 N Fair Oaks Ave
Pasadena, CA 91103
Phone (626) 792-2378

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mtrinh@dcm-ca.emadirect.md

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460851200000",
    "number": "1023369667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 E MERCED AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917905142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 N FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033621",
            "telephone_number": "626-792-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINH",
        "first_name": "MARIA",
        "middle_name": "THI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-22",
        "last_updated": "2016-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "22563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.