Jennifer Trubschenck, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA21834 Issued in CA

Practice address

425 Haaland Dr Ste 204
Thousand Oaks, CA 91361-5231

Phone

(805) 497-8080

NPI assigned

Oct 19, 2011

Last updated

Jul 8, 2021By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Csi Medical Group

  • MOHS-Micrographic Surgery Physician
  • San Pedro, CA
  • NPI 1871909804
  Medicare reassignment
• Evelyn Jankowski MD Inc

  • Dermatology Physician
  • Granada Hills, CA
  • NPI 1831200633
  Medicare reassignment
• Laca Dermatology, Inc

  • MOHS-Micrographic Surgery Physician
  • Sherman Oaks, CA
  • NPI 1811497928
  Medicare reassignment
• Dermatology & Cosmetic Care, a Medical Corporation

  • Medical Specialty Clinic/Center
  • Thousand Oaks, CA
  • NPI 1366629800
  NPD
• Family Health & Wellness Center

  • Family Medicine Physician
  • Northridge, CA
  • NPI 1437474657
  NPD (past)

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1083999254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HAALAND DR STE 204",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615231",
            "telephone_number": "805-497-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HAALAND DR STE 204",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615231",
            "telephone_number": "805-497-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUBSCHENCK",
        "first_name": "JENNIFER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia Kho, a Medical Corporation
• Han Quynh Trieu, B.S.
• Thuan-Hau Thi Trinh, MD
• Tristie Yumul-Goce
• Amanda Troop
• True Biologic Function, an Acupuncture Corporation
• True Functional Airway LLC
• Ashley B Trujillo, MPT
• Oscar Trujillo
• Julie Ann Trussell, D.C.

• Physician Assistant in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.