Individual provider Active NPI

Christine Thuy Trang Trinh, DO

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1053974147
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A19918 Issued in CA
Practice address
227 N Jackson Ave Ste 235
San Jose, CA 95116-1635
Phone
(408) 254-9192
NPI assigned
Apr 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101026336 MI
Family Medicine Physician 207Q00000X 20A19918 CA Primary

Addresses

Primary practice location

227 N Jackson Ave Ste 235
San Jose, CA 95116-1635

Mailing address

641 Monticello Ter
Fremont, CA 94539-5400
Phone (408) 206-8414

Other practice location 1

3031 W Grand Blvd Ste 450
Detroit, MI 48202-3026
Phone (313) 346-5235

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220818000504 CA Practitioner - Family Practice 3072905512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Western University of Health Sciences College of Dental Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
One Health Medical FoundationGroup PAC ID 3870907843, 12 clinicians

Practice addresses (Care Compare)

227 N Jackson Ave
Suite 235
San Jose, CA 95116-1635
Phone (408) 279-2377

Hospital & facility affiliations

  • Ace Home Health Care & Hospice, Inc Home health agency, Orinda, CA, CCN 059461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A19918CAMDFamily Medicine Physician
5101026336MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Health Medical Foundation Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
County of Santa Clara Past Accepting new patients
Partners in Wellness Family Medicine Past Accepting new patients
One Health Primary Care LLC Past Accepting new patients

Locations

227 N Jackson Ave
Ste 235
San Jose, CA 95116
Phone (408) 254-9192

1661 Burdette Dr
Ste N
San Jose, CA 95121
Phone (408) 270-4582

2611 Senter Rd
Ste 238
San Jose, CA 95111
Phone (408) 281-3889

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1053974147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 MONTICELLO TER",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395400",
            "telephone_number": "408-206-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N JACKSON AVE STE 235",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161635",
            "telephone_number": "408-254-9192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3031 W Grand Blvd Ste 450",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482023026",
            "country_code": "US",
            "telephone_number": "313-346-5235",
            "fax_number": "313-879-6960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRINH",
        "first_name": "CHRISTINE",
        "middle_name": "THUY TRANG",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101026336",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A19918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.