Amanda Lee Trevino, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

BP1-0038082 Issued in TX

Practice address

333 N Santa Rosa
Center for Children & Familes, 4TH Floor
San Antonio, TX 78207-3108

Phone

(210) 704-4140

Fax

(210) 704-4136

NPI assigned

Jun 18, 2010

Last updated

Jun 18, 2010By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Santa Rosa Family Health Center

  dba Santa Rosa Family Practice Residency Program

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1679572804
  NPD (past)

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1154642619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SANTA ROSA",
            "address_2": "CENTER FOR CHILDREN & FAMILIES, SUITE 4703",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073108",
            "telephone_number": "210-704-2575",
            "fax_number": "210-704-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N SANTA ROSA",
            "address_2": "CENTER FOR CHILDREN & FAMILES, 4TH FLOOR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073108",
            "telephone_number": "210-704-4140",
            "fax_number": "210-704-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP1-0038082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Trevino, DO
• Alexis Trevino, DPT, PT
• Allen Marshal Trevino
• Alyssa Victoria Trevino, PHARMD
• Amanda Trevino, CNIM
• Anna Cecilia Trevino
• Ariel Adriana Trevino, LCSW
• Armandin Trevino, PH.D
• Ashley Rose Trevino
• Aureliano F. Trevino, LCSW

• Student in an Organized Health Care Education/Training Program in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.