Individual provider Active NPI

Susan Trinh, M.D.

  • Anesthesiology Physician
  • Corona, CA
National Provider Identifier
1154732451
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A154642 Issued in CA
Practice address
6459 Whitelily St
Corona, CA 92880-3179
Phone
(858) 232-8572
NPI assigned
May 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A154642 CA Primary

Addresses

Primary practice location

6459 Whitelily St
Corona, CA 92880-3179

Mailing address

6459 Whitelily St
Corona, CA 92880-3179
Phone (858) 232-8572

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180802001516 CA Practitioner - Anesthesiology 0749586253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Anesthesia Associates PCGroup PAC ID 4385070549, 24 clinicians
South Bay Anesthesia Medical Group IncGroup PAC ID 6406899707, 31 clinicians

Practice addresses (Care Compare)

1300 W 7TH St
San Pedro, CA 90732-3505
Phone (310) 832-3311

4101 Torrance Blvd
Torrance, CA 90503-4607
Phone (310) 540-7676

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A154642CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Anesthesia Medical Group Inc. Anesthesiology CurrentSince Aug 1, 2018 Accepting new patients
Professional Anesthesia Associates PC Anesthesiology CurrentSince Jun 15, 2021 Accepting new patients

Locations

514 N Prospect Ave
Ste 100
Redondo Beach, CA 90277
Phone (310) 376-2007

1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350

3720 Lomita Blvd
Ste 102
Torrance, CA 90505
Phone (310) 802-6260

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

23500 Madison St
Torrance, CA 90505
Phone (310) 539-5120

3720 Lomita Blvd
Ste 100
Torrance, CA 90505
Phone (310) 376-7000

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1154732451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6459 WHITELILY ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928803179",
            "telephone_number": "858-232-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6459 WHITELILY ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928803179",
            "telephone_number": "858-232-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINH",
        "first_name": "SUSAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-08",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A154642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.