Trevinder Ahluwalia, MD
Individual provider Active NPI Psychiatry Physician · Apple Valley, CA
NPI 1164530440 · NPPES record last updated May 31, 2019
Key facts
- NPI
- 1164530440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- A38299 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mohinder P Ahluwalia M D and Trevi Ahluwalia M D Inc a Prof Corp
Practice addresses (Care Compare)
16143 Kokanee Rd
Suite a
Apple Valley, CA 92307-1355
Phone (760) 242-9577
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130627000074 | CA | Practitioner - Psychiatry | 7517118185 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mohinder P Ahluwalia M D & Trevi Ahluwalia M D Inc a Prof Corp | Psychiatry | Current |
Accepting new patients |
Locations
16143 Kokanee Rd
Ste A
Apple Valley, CA 92307
Phone (760) 242-9577
15982 Quantico Rd
Ste A
Apple Valley, CA 92307
Phone (619) 242-9577
17151 Main St
Ste A
Hesperia, CA 92345
Phone (909) 558-6305
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A38299 | CA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0334017 | Medicaid | CA |
Other providers in Apple Valley, CA
- Erika Fabiola Aguirre
- Krystal Lee Aguirre
- Nelida Aguirre
- Bikramjit S Ahluwalia
- Mohinder Paul Ahluwalia
- Mohammad Reza Ahmadinia
- Kabir Ahmed
- David Sungho Ahn
- Maria Ysabelle Eviota Aizon
- Melanie Rose Brown Ajanwachuku
All providers in Apple Valley, CA · Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.