Therese Trolan, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G61013 Issued in CA

Practice address

1820 41St Ave Ste D
Capitola, CA 95010-2516

Phone

(831) 476-3000

Fax

(831) 476-9009

NPI assigned

Sep 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 15, 2016 through Mar 15, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• LPCH Medical Group Div of Lucile

  dba Lucile Salter Packard Children's Hospital at Stanford

  • Children's Hospital
  • Palo Alto, CA
  • NPI 1417907940

  Pediatrics

  NPD (past)
• Whole Child Wellness, Inc

  • Nutritionist
  • Belmont, CA
  • NPI 1720299308

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1073616025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 SOQUEL DR",
            "address_2": "STE 330",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651719",
            "telephone_number": "831-465-7761",
            "fax_number": "831-475-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 41ST AVE STE D",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102516",
            "telephone_number": "831-476-3000",
            "fax_number": "831-476-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROLAN",
        "first_name": "THERESE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G61013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL ID NUMBER",
            "identifier": "00G610130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kent Thompson, M.D.
• Thrifty Payless Inc (Rite Aid Pharmacy 05966)
• Kathryn Tidaback, M.S. CCC-SLP
• Hong-Nhung Tran, MD
• Michael Tran, PHARMD
• Tina Yen Truong, RPH
• Lishanna Echo Tryllium, L.AC.
• Heather Turey, LMFT
• Molly C Turner, OTR/L
• Michael Tyson, LMFT

• Pediatrics Physician in Capitola, CA
• Providers in Capitola, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.