Individual provider Active NPI

Kenneth G Trestman, MD

  • Pulmonary Disease Physician
  • Encinitas, CA
National Provider Identifier
1346358793
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G69663 Issued in CA
Practice address
326 Santa Fe Dr Ste 100
Encinitas, CA 92024-5157
Phone
(760) 230-8994
Fax
(760) 944-1309
NPI assigned
Aug 27, 2006
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G69663 CA
Pulmonary Disease Physician 207RP1001X G69663 CA Primary

Addresses

Primary practice location

326 Santa Fe Dr Ste 100
Encinitas, CA 92024-5157

Mailing address

120 Craven Rd Ste 201
San Marcos, CA 92078-4237
Phone (760) 291-6650

Other practice location 1

2067 W Vista Way Ste 160
Vista, CA 92083-6032
Phone (760) 230-8994

Other practice location 2

354 Santa Fe Dr Ste 100
Encinitas, CA 92024-5142
Phone (760) 230-8994

Other identifiers 1

IdentifierTypeStateIssuer
G69663OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050614000568 CA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 2264476951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
New York Medical College, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arch Health Partners IncGroup PAC ID 9931239027, 141 clinicians
Scott a Eisman MD IncGroup PAC ID 6901052513, 13 clinicians

Practice addresses (Care Compare)

15611 Pomerado Rd
Poway, CA 92064-2437
Phone (858) 675-3100

2125 Citracado Pkwy
Escondido, CA 92029-4159

326 Santa Fe Dr
Suite 100
Encinitas, CA 92024-5157
Phone (818) 462-0990

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
15.42 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
51.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G69663CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arch Health Partners Pulmonary Disease CurrentSince Sep 1, 2015 Accepting new patients
Arch Health Partners, Inc Internal Medicine CurrentSince Sep 1, 2015 Accepting new patients
Scott a Eisman MD Inc Pulmonary Disease CurrentSince Dec 1, 2024 Accepting new patients

Locations

326 Santa Fe Dr
Encinitas, CA 92024
Phone (760) 633-7240

326 Santa Fe Dr
Ste 100
Encinitas, CA 92024
Phone (760) 230-8994

1955 Citracado Pkwy
Ste 300
Escondido, CA 92029
Phone (760) 294-1281

1955 Citracado Pkwy
Ste 301
Escondido, CA 92029
Phone (760) 489-1458

2125 Citracado Pkwy
#230
Escondido, CA 92029

2125 Citracado Pkwy
Ste 230
Escondido, CA 92029
Phone (518) 423-8821

488 E Valley Pkwy
Ste 314
Escondido, CA 92025
Phone (760) 489-1458

15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900

120 Craven Rd
Ste 201
San Marcos, CA 92078

2067 W Vista Way
Vista, CA 92083
Phone (760) 758-3000

2067 W Vista Way
Ste 160
Vista, CA 92083
Phone (760) 230-8994

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kenneth.trestman.p1@direct.arch.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1346358793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CRAVEN RD STE 201",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784237",
            "telephone_number": "760-291-6650",
            "fax_number": "858-618-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 SANTA FE DR STE 100",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245157",
            "telephone_number": "760-230-8994",
            "fax_number": "760-944-1309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2067 W Vista Way Ste 160",
            "address_purpose": "LOCATION",
            "city": "Vista",
            "state": "CA",
            "postal_code": "920836032",
            "country_code": "US",
            "telephone_number": "760-230-8994",
            "fax_number": "760-944-1309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "354 Santa Fe Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920245142",
            "country_code": "US",
            "telephone_number": "760-230-8994",
            "fax_number": "760-944-1309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRESTMAN",
        "first_name": "KENNETH",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-27",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G69663",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G69663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G69663",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.