Tristar Home Visit Providers Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

21506 Issued in CA

Legal business name

TRISTAR HOME VISIT PROVIDERS INC

Practice address

275 W Hospitality LN Ste 103a
San Bernardino, CA 92408-3238

Phone

(909) 565-8384

Fax

(909) 575-6200

NPI assigned

Nov 4, 2016

Organization subpart

No

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

Authorized official

Name

Maria Vvctoria T Salcedo, NP

Title

President/Ceo

Phone

(909) 565-8384

Specialties & licenses 1

Addresses

Tax ID family

Tristar Home Visit Providers Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tristar Home Visit Providers Inc

  • Family Nurse Practitioner
  • Moreno Valley, CA
  • NPI 1114381555
  NPD tax ID

Locations

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1205378437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W HOSPITALITY LN STE 103A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083238",
            "telephone_number": "909-565-8384",
            "fax_number": "909-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W HOSPITALITY LN STE 103A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083238",
            "telephone_number": "909-565-8384",
            "fax_number": "909-575-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTAR HOME VISIT PROVIDERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "SALCEDO",
        "authorized_official_first_name": "MARIA VVCTORIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "909-565-8384",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "21506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diem Trieu
• Mimi Tuyet Minh Trieu
• Bernice Trigueros
• Trinity Advancement Center of the Inland Empire
• Katherine Clair Tristan
• Manan Jayesh Trivedi, M.D.
• Roman Trochanowski, MD
• Linda E Troxell, LMFT
• Michael Joseph Trudeau, DC
• True North Star Licensed Clinical Social Worker PC

• Family Nurse Practitioner in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.