Richard J. Trevino, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

C29426 Issued in CA

Practice address

227 N Jackson Ave Ste 235
San Jose, CA 95116-1635

Phone

(408) 926-5300

Fax

(408) 926-5395

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

OtolaryngologyAlso: Allergy/Immunology

Education

University of Texas Southwestern Medical School at Dallas, 1964

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Richard J Trevino MD a Professional Corporation

  • Otolaryngology Physician
  • San Jose, CA
  • NPI 1093819724
  Medicare reassignment
• County of Santa Clara

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1063406551
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1275616310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 N JACKSON AVE STE 235",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161635",
            "telephone_number": "408-926-5300",
            "fax_number": "408-926-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N JACKSON AVE STE 235",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161635",
            "telephone_number": "408-926-5300",
            "fax_number": "408-926-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "RICHARD",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "CA",
            "license": "C29426",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "C29426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C29460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Trepagnier
• Katherine Ann Trescott, MS, CCC-SLP
• Malia Eliana Trevino-Vasquez
• Jacob Samuel Trevino Jr.
• Mario Trevino
• Tri DO MD
• Tri Manh Nguyen DDS Inc
• Tri Starr Home Care LLC
• Tri Starr Home Care, LLC
• Tri-County Vascular Care, LLC

• Otolaryngology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.