Trinity Urological & Surgical Group

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

A40189 Issued in CA

Legal business name

TRINITY UROLOGICAL & SURGICAL GROUP

Practice address

126 S Montebello Blvd
Montebello, CA 90640-4730

Phone

(323) 720-9204

Fax

(323) 720-9208

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Alex Yacoub

Title

Billing Office Manager

Phone

(323) 720-9204

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Montebello Urological Associates2 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.

• Trinity Urological and Surgical, Inc.

  • Urology Physician
  • Montebello, CA
  • NPI 1285883769
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Yacoub Medical, Inc.

  • General Practice Physician
  • Montebello, CA
  • NPI 1477698512

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Atef Labib Yacoub, M.D.

  • Urology Physician
  • Montebello, CA
  • NPI 1740339894
  Medicare reassignment NPD

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1245374354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 S MONTEBELLO BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404730",
            "telephone_number": "323-720-9204",
            "fax_number": "323-720-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S MONTEBELLO BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404730",
            "telephone_number": "323-720-9204",
            "fax_number": "323-720-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY UROLOGICAL & SURGICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "YACOUB",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "BILLING OFFICE MANAGER",
        "authorized_official_telephone_number": "323-720-9204",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "A40189",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A40189",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0070630",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0070010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phoenix My Tran, OD
• Thang Dinh Tran, DDS
• Transcare Home Health Inc
• Stephanie Trat, PHARM. D.
• Myrna Yu Trillana, PHAMACIST
• Trinity Urological and Surgical, Inc.
• Rena Trujillo, MSW
• Mai To Truong, O.D.
• Victor Thanh Truong
• Tsai & Snowden, Esthetic Partners Dental Group

• Urology Physician in Montebello, CA
• Providers in Montebello, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.