Active NPI
Ericsson Trieu, PA-C
- Physician Assistant
- Whittier, CA
National Provider Identifier
1144685504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 54702
- Practice address
- 12456 Washington Blvd
Whittier, CA 90602-1005 - Phone
- (562) 758-6600
- NPI assigned
- Dec 29, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 54702 | CA | Primary |
Addresses
Primary practice location
12456 Washington Blvd
Whittier, CA 90602-1005
Mailing address
12456 Washington Blvd
Whittier, CA 90602-1005
Phone (562) 758-6600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
12456 Washington Blvd
Whittier, CA 90602-1005
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54702 | CA | MD | Physician Assistant |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- ericsson.trieu@9998299955204.direct.elationemr.com
Organizations & group practices 2
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.
-
- Rheumatology Physician
- Whittier, CA
- NPI 1578946109
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1659346005
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Whittier, CA
- NPI 1043215379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1144685504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12456 WASHINGTON BLVD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906021005",
"telephone_number": "562-758-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12456 WASHINGTON BLVD",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906021005",
"telephone_number": "562-758-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIEU",
"first_name": "ERICSSON",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-29",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "54702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whittier, CA
- Juana Angelica Trejo
- Tri Star Medical Group & Rehab
- Tri Star Orthopaedics
- Rosalba Trias-Ruiz, PH.D.
- Michael Pedrano Trias, PA-C
- Mary Shannon Triggs
- Hue Trinh-Ta, DPT, DACM
- Thomas Trinh, DDS.
- Trinity Marketing, Inc. (Trinity Recovery Centers)
- Trinity Nationwide Recovery Inc (Trinity Behavioral Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.