Active NPI
Marita Ann Trobough, CFM
- Mastectomy Fitter
- Los Gatos, CA
National Provider Identifier
1154087666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mastectomy Fitter
- Practice address
- 15400 National Ave Ste 120
Los Gatos, CA 95032-2433 - Phone
- (408) 206-6850
- Fax
- (408) 358-8435
- NPI assigned
- Nov 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mastectomy Fitter | 224900000X | Primary |
Addresses
Primary practice location
15400 National Ave Ste 120
Los Gatos, CA 95032-2433
Mailing address
15400 National Ave Ste 120
Los Gatos, CA 95032-2433
Phone (408) 206-6850
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | NEXTSTEPBOUTIQUE@AOL.COM | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Step a Womans Boutique LLC | Current | Accepting new patients |
Locations
15400 National Ave
Ste 120
Los Gatos, CA 95032
Phone (408) 206-6850
Organizations & group practices 1
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.
-
- Prosthetic/Orthotic Supplier
- Los Gatos, CA
- NPI 1932101250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1154087666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15400 NATIONAL AVE STE 120",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950322433",
"telephone_number": "408-206-6850",
"fax_number": "408-358-8435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15400 NATIONAL AVE STE 120",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950322433",
"telephone_number": "408-206-6850",
"fax_number": "408-358-8435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROBOUGH",
"first_name": "MARITA",
"middle_name": "ANN",
"credential": "CFM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-10",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "224900000X",
"taxonomy_group": "",
"desc": "Mastectomy Fitter",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "NEXTSTEPBOUTIQUE@AOL.COM",
"affiliation": "N",
"endpointDescription": "E-MAIL",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "REFERRALS",
"address_1": "15400 National Ave Ste 120",
"city": "Los Gatos",
"state": "CA",
"country_code": "US",
"postal_code": "950322433",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.