Active NPI
Brent Thomas Trompetto, MD
- Internal Medicine Physician
- Simi Valley, CA
National Provider Identifier
1194718254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A55198
- Practice address
- 2755 Alamo St
Suite 100
Simi Valley, CA 93065-1311 - Phone
- (805) 210-7280
- Fax
- (805) 210-7290
- NPI assigned
- Aug 24, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A55198 | CA | Primary |
Addresses
Primary practice location
2755 Alamo St
Suite 100
Simi Valley, CA 93065-1311
Mailing address
2755 Alamo St
Suite 100
Simi Valley, CA 93065-1311
Phone (805) 210-7280
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A55198 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Medical Organization, a Medical Group Inc. | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- West Hills, CA
- NPI 1831426642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298505600000",
"number": "1194718254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2755 ALAMO ST",
"address_2": "SUITE 100",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930651311",
"telephone_number": "805-210-7280",
"fax_number": "805-210-7290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2755 ALAMO ST",
"address_2": "SUITE 100",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930651311",
"telephone_number": "805-210-7280",
"fax_number": "805-210-7290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROMPETTO",
"first_name": "BRENT",
"middle_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2011-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A55198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.