Active NPI
Howard Brigoli Trazo
- Licensed Psychiatric Technician
- Norwalk, CA
National Provider Identifier
1194373274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- 29298
- Practice address
- 11902 Rosecrans Ave
Norwalk, CA 90650-4197 - Phone
- (562) 929-7188
- NPI assigned
- Aug 31, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | 29298 | CA | Primary |
Addresses
Primary practice location
11902 Rosecrans Ave
Norwalk, CA 90650-4197
Mailing address
11902 Rosecrans Ave
Norwalk, CA 90650-4197
Phone (562) 929-7188
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29298 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567209600000",
"number": "1194373274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11902 ROSECRANS AVE",
"city": "NORWALK",
"state": "CA",
"postal_code": "906504197",
"telephone_number": "562-929-7188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11902 ROSECRANS AVE",
"city": "NORWALK",
"state": "CA",
"postal_code": "906504197",
"telephone_number": "562-929-7188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAZO",
"first_name": "HOWARD",
"middle_name": "BRIGOLI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-31",
"last_updated": "2019-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "29298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.