Active NPI
Rosana Isabel Trivino-Perez, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1356648976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 26355
- Practice address
- 10940 Wilshire Blvd
16TH Floor
Los Angeles, CA 90024-3915 - Phone
- (310) 709-8892
- NPI assigned
- Feb 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 26355 | CA | Primary |
Addresses
Primary practice location
10940 Wilshire Blvd
16TH Floor
Los Angeles, CA 90024-3915
Mailing address
10940 Wilshire Blvd
16TH Floor
Los Angeles, CA 90024-3915
Phone (310) 709-8892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26355 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297814400000",
"number": "1356648976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10940 WILSHIRE BLVD",
"address_2": "16TH FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900243915",
"telephone_number": "310-709-8892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10940 WILSHIRE BLVD",
"address_2": "16TH FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900243915",
"telephone_number": "310-709-8892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIVINO-PEREZ",
"first_name": "ROSANA",
"middle_name": "ISABEL",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-16",
"last_updated": "2011-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "26355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.