Active NPI
Gina Marie Trentacosti, OD
- Optometrist
- Pleasanton, CA
National Provider Identifier
1295733939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 11442T
- Practice address
- 5575 W Las Positas Blvd
#240
Pleasanton, CA 94588-5801 - Phone
- (925) 460-5000
- Fax
- (925) 460-5040
- NPI assigned
- Jul 7, 2005
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT 11442T | CA | Primary |
Addresses
Primary practice location
5575 W Las Positas Blvd
#240
Pleasanton, CA 94588-5801
Mailing address
5575 W Las Positas Blvd
#240
Pleasanton, CA 94588-5801
Phone (925) 460-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT 11442T | CA | MD | Optometrist |
Interoperability endpoints
- gtrentacosti@vecma.intellechartdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368057600000",
"number": "1295733939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5575 W LAS POSITAS BLVD",
"address_2": "#240",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945885801",
"telephone_number": "925-460-5000",
"fax_number": "925-460-5040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5575 W LAS POSITAS BLVD",
"address_2": "#240",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945885801",
"telephone_number": "925-460-5000",
"fax_number": "925-460-5040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRENTACOSTI",
"first_name": "GINA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2013-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT 11442T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.