Organization Active NPI

Trinity Health and Wellness Center, Inc.

  • Family Medicine Physician
  • Roseville, CA
National Provider Identifier
1093908790
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A71357 Issued in CA
Legal business name
TRINITY HEALTH AND WELLNESS CENTER, INC.
Practice address
576 N Sunrise Ave
Suite 220
Roseville, CA 95661-2841
Phone
(916) 773-3444
Fax
(916) 773-3474
NPI assigned
Aug 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Authorized official

Name
Dr. Mark Andrew King, MD
Title
President/Owner
Phone
(916) 568-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A71357 CA Primary

Addresses

Primary practice location

576 N Sunrise Ave
Suite 220
Roseville, CA 95661-2841

Mailing address

576 N.Sunrise Ave
Suite 220
Roseville, CA 95661-2847
Phone (916) 773-3444

National Provider Directory

National Provider Directory

Locations

576 N Sunrise Ave
Ste 220
Roseville, CA 95661
Phone (916) 773-3444

NPI Registry JSON

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

{
    "created_epoch": "1188086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1093908790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 N.SUNRISE AVE",
            "address_2": "SUITE 220",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612847",
            "telephone_number": "916-773-3444",
            "fax_number": "916-773-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 N SUNRISE AVE",
            "address_2": "SUITE 220",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612841",
            "telephone_number": "916-773-3444",
            "fax_number": "916-773-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY HEALTH AND WELLNESS CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-26",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "916-568-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A71357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.