Individual provider Active NPI

Bellaflor Villanueva Trompeta, M.D.

  • Pediatrics Physician
  • Northridge, CA
National Provider Identifier
1053467274
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A26147 Issued in CA
Practice address
18433 Roscoe Blvd Ste 104
Northridge, CA 91325-4127
Phone
(818) 993-9555
Fax
(818) 993-9558
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A26147 CA Primary
Neonatal-Perinatal Medicine Physician 2080N0001X A26147 CA

Addresses

Primary practice location

18433 Roscoe Blvd Ste 104
Northridge, CA 91325-4127

Mailing address

18433 Roscoe Blvd Ste 104
Northridge, CA 91325-4127
Phone (818) 993-9555

Other identifiers 1

IdentifierTypeStateIssuer
00A261470MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A26147CAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1053467274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18433 ROSCOE BLVD STE 104",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254127",
            "telephone_number": "818-993-9555",
            "fax_number": "818-993-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18433 ROSCOE BLVD STE 104",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254127",
            "telephone_number": "818-993-9555",
            "fax_number": "818-993-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROMPETA",
        "first_name": "BELLAFLOR",
        "middle_name": "VILLANUEVA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A26147",
            "primary": true
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "CA",
            "license": "A26147",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A261470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.