Tri DO MD

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

Legal business name

TRI DO MD

Practice address

5091 Mitty Way
San Jose, CA 95129-1849

Phone

(408) 835-9601

NPI assigned

Oct 20, 2022

Organization subpart

No

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

Authorized official

Name

Tri DO, MDNPI 1619930260

Title

Ceo

Phone

(408) 835-9601

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Tri Minh DO, MD

  • Radiation Oncology Physician
  • San Jose, CA
  • NPI 1619930260
  NPD Authorized official

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1316664303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5091 MITTY WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951291849",
            "telephone_number": "408-835-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5091 MITTY WAY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951291849",
            "telephone_number": "408-835-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI DO MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "TRI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-835-9601",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENSE",
            "identifier": "A55472",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1619930260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Ann Trescott, MS, CCC-SLP
• Malia Eliana Trevino-Vasquez
• Jacob Samuel Trevino Jr.
• Mario Trevino
• Richard J. Trevino, M.D.
• Tri Manh Nguyen DDS Inc
• Tri Starr Home Care LLC
• Tri Starr Home Care, LLC
• Tri-County Vascular Care, LLC
• Tri-Valley Health Center Inc

• Radiation Oncology Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Radiation Oncology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.