Trinity Urological and Surgical, Inc.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

A40189 Issued in CA

Legal business name

TRINITY UROLOGICAL AND SURGICAL, INC.

Practice address

101 E Beverly Blvd Ste 300
Montebello, CA 90640-4316

Phone

(323) 728-9300

Fax

(323) 728-0184

NPI assigned

Sep 9, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Alexander Yacoub

Title

Office Manager

Phone

(323) 720-9204

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Montebello Urological Associates Doing business as

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 & Surgical Group

  • Urology Physician
  • Montebello, CA
  • NPI 1245374354
  NPD tax ID

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
  NPD (past)

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1285883769",
    "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": "101 E BEVERLY BLVD STE 300",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404316",
            "telephone_number": "323-728-9300",
            "fax_number": "323-728-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY UROLOGICAL AND SURGICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "YACOUB",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "323-720-9204",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "A40189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0070630",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "W13112",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montebello Urological Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• 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 Sep 9, 2008; 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.