Richard J Trevino MD a Professional Corporation

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

C29426 Issued in CA

Legal business name

RICHARD J TREVINO MD A PROFESSIONAL CORPORATION

Practice address

227 N Jackson Ave Ste I-205
San Jose, CA 95116-1603

Phone

(408) 926-5300

Fax

(408) 926-5395

NPI assigned

Sep 12, 2006

Last updated

Jun 29, 2026By 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

Tina Tran

Title

Operations Manager

Phone

(408) 926-5300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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.

• Niraj Lal, MD

  • Otolaryngology Physician
  • Santa Rosa, CA
  • NPI 1770614059
  Medicare reassignment NPD
• Richard J. Trevino, M.D.

  • Otolaryngology Physician
  • San Jose, CA
  • NPI 1275616310
  Medicare reassignment
• Brendan Khanh Tuan Tran, DO

  • Internal Medicine Physician
  • San Jose, CA
  • NPI 1568039758
  NPD
• Anh Thu Thi Tran, DO

  • General Practice Physician
  • San Jose, CA
  • NPI 1609366459

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1093819724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 N JACKSON AVE STE 235",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161603",
            "telephone_number": "408-926-5300",
            "fax_number": "408-926-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N JACKSON AVE STE I-205",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161603",
            "telephone_number": "408-926-5300",
            "fax_number": "408-926-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J TREVINO MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "408-926-5300"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "C29426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C29460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Richard P. Carr Physical Therapy Inc (Williamson/Hahn Physical Therapy and Rehabilitation)

• Otolaryngology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.