Trivalley Ear Nose Throat

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

G46300 Issued in CA

Legal business name

TRIVALLEY EAR NOSE THROAT

Practice address

25150 Hancock Ave
Ste 204
Murrieta, CA 92562-5989

Phone

(951) 698-8222

Fax

(951) 698-7411

NPI assigned

Sep 24, 2015

Last updated

Sep 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Pamela Lehman

Title

Credentialing

Phone

(951) 215-1889

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael G Forrester, M.D.

  • Otolaryngology Physician
  • Murrieta, CA
  • NPI 1881761310
  Medicare reassignment Care Compare group NPD
• Benjamin Stanley Roberts, DO

  • Otolaryngology/Facial Plastic Surgery Physician
  • Murrieta, CA
  • NPI 1740526748
  Medicare reassignment Care Compare group NPD
• Todd M. Roberts, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Murrieta, CA
  • NPI 1962722108
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1063881605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25150 HANCOCK AVE",
            "address_2": "STE 204",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625989",
            "telephone_number": "951-698-8222",
            "fax_number": "951-698-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25150 HANCOCK AVE",
            "address_2": "STE 204",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625989",
            "telephone_number": "951-698-8222",
            "fax_number": "951-698-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIVALLEY EAR NOSE THROAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "LEHMAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "951-215-1889",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "G46300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tri-Valley Medical Group, Inc
• Samantha Trigo
• Yesenia Trinidad
• Trinity Women's Health Inc
• William Tritch
• Michelle Trotter, RDN
• Emma Trpevski
• Tru-Awareness Psychological Services Professional Corporation
• Steven-Hung Quoc Truong, D.D.S.
• Marcy Lynn Trutalli, M.P.T., C.S.C.S.

• Otolaryngology/Facial Plastic Surgery Physician in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Otolaryngology/Facial Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.