Active NPI
Laurie M. Trombla, PA-C
- Physician Assistant
- San Pablo, CA
National Provider Identifier
1245253871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA13720
- Practice address
- 2000 Vale Rd
San Pablo, CA 94806-3808 - Phone
- (510) 970-5140
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA13720 | CA | Primary |
Addresses
Primary practice location
2000 Vale Rd
San Pablo, CA 94806-3808
Mailing address
2100 Powell St
Suite 900
Emeryville, CA 94608-1826
Phone (510) 350-2777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13720 | CA | MD | Optometrist |
| PA13720 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifelong Medical Care | Current | Accepting new patients | |
| Lifelong Medical Care | Current | Accepting new patients | |
| California Pacific Medical Group, Inc. | Past | Accepting new patients |
Locations
2344 6th St
Berkeley, CA 94710
Phone (510) 981-3203
10700 MacArthur Blvd
Ste 14B
Oakland, CA 94605
Phone (510) 563-4300
Interoperability endpoints
- ltrombla281179@direct.ochin.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Over Sixty Health Center
- Geriatric Medicine (Family Medicine) Physician
- Berkeley, CA
- NPI 1689670002
-
- Family Medicine Physician
- Rodeo, CA
- NPI 1003289463
-
dba Brown & Toland Medical Group
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245253871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL ST",
"address_2": "SUITE 900",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081826",
"telephone_number": "510-350-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 VALE RD",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "948063808",
"telephone_number": "510-970-5140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROMBLA",
"first_name": "LAURIE",
"middle_name": "M.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA13720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Pablo, CA
- Ana Lilia Torres
- Tracy T. Phillips, MD, Medical Corporation
- Tran and Tran, a Dental Corp (pacific family dental)
- David Tran, DDS
- Loan Thi Tran
- Barbara Ann Turan, LCSW
- Sabrina Ugenti
- Ujima Central Mothers' Program
- Ujima Family Recovery Services
- Ujima Family Recovery Services (Rectory Women's Recovery Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.