Individual provider Active NPI

Trinity Thienanh Khoa DO, PHARMD, MBA

  • Pharmacist
  • Palm Springs, CA
National Provider Identifier
1194333203
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
61065 Issued in CA
Practice address
5601 E Ramon Rd
Palm Springs, CA 92264-3605
Phone
(760) 322-1488
Fax
(760) 322-8059
NPI assigned
Jul 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 61065 CA Primary

Addresses

Primary practice location

5601 E Ramon Rd
Palm Springs, CA 92264-3605

Mailing address

47699 Calle Diamante
Indio, CA 92201-6692
Phone (310) 951-6703

Other names 1

  • Trinity DO Other name

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
Credentials
Master of Business Administration, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
61065CAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1194333203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47699 CALLE DIAMANTE",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922016692",
            "telephone_number": "310-951-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 E RAMON RD",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922643605",
            "telephone_number": "760-322-1488",
            "fax_number": "760-322-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "TRINITY THIENANH",
        "middle_name": "KHOA",
        "credential": "PHARMD, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "61065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRINITY",
            "last_name": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.