Individual provider Active NPI

Trevinder Ahluwalia, MD

  • Psychiatry Physician
  • Apple Valley, CA
National Provider Identifier
1164530440
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A38299 Issued in CA
Practice address
16143 Kokanee Rd
Ste a
Apple Valley, CA 92307-1355
Phone
(760) 242-9579
Fax
(760) 242-2213
NPI assigned
Aug 28, 2006
Last updated
May 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A38299 CA Primary

Addresses

Primary practice location

16143 Kokanee Rd
Ste a
Apple Valley, CA 92307-1355

Mailing address

16143 Kokanee Rd
#A
Apple Valley, CA 92307-1355
Phone (760) 242-9577

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
I20130627000074 CA Practitioner - Psychiatry 7517118185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

16143 Kokanee Rd
Suite a
Apple Valley, CA 92307-1355
Phone (760) 242-9577

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mohinder P Ahluwalia M D & Trevi Ahluwalia M D Inc a Prof Corp Psychiatry CurrentSince Aug 6, 2025 Accepting new patients
Mohinder P Ahluwalia M D & Trevi Ahluwalia M D Inc a Prof Corp Current Accepting new patients

Locations

15982 Quantico Rd
Ste A
Apple Valley, CA 92307
Phone (619) 242-9577

16143 Kokanee Rd
Ste A
Apple Valley, CA 92307
Phone (760) 242-9577

17151 Main St
Ste A
Hesperia, CA 92345
Phone (909) 558-6305

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559260800000",
    "number": "1164530440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16143 KOKANEE RD",
            "address_2": "#A",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071355",
            "telephone_number": "760-242-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16143 KOKANEE RD",
            "address_2": "STE A",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071355",
            "telephone_number": "760-242-9579",
            "fax_number": "760-242-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHLUWALIA",
        "first_name": "TREVINDER",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2019-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A38299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.