Active NPI
Victoria Troncoso, D.O.
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Scottsdale, AZ
National Provider Identifier
1366534893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- License
- DO2849
- Practice address
- 9590 E Ironwood Square Dr
106
Scottsdale, AZ 85258-4581 - Phone
- (480) 391-7631
- Fax
- (480) 314-5493
- NPI assigned
- Sep 29, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | DO2849 | AZ | Primary |
| Internal Medicine Physician | 207R00000X | DO2849 | AZ |
Addresses
Primary practice location
9590 E Ironwood Square Dr
106
Scottsdale, AZ 85258-4581
Mailing address
9590 E Ironwood Square Dr
106
Scottsdale, AZ 85258-4581
Phone (480) 391-7631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z76288 | Other | AZ | PTAN |
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2016 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO2849 | AZ | MD | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bundschuh Osteopathic PLLC | Current | Accepting new patients | |
| Philadelphia College of Osteopathic Medicine | Neuromusculoskeletal Medicine, Sports Medicine | Past | Accepting new patients |
Locations
9590 E Ironwood Square Dr
Ste 106
Scottsdale, AZ 85258
Phone (480) 391-7631
Interoperability endpoints
- victoria.troncoso.p1@direct.pcom.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Scottsdale, AZ
- NPI 1073994075
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1881635704
Neuromusculoskeletal Medicine, Sports Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1366534893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9590 E IRONWOOD SQUARE DR",
"address_2": "106",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584581",
"telephone_number": "480-391-7631",
"fax_number": "480-314-5493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9590 E IRONWOOD SQUARE DR",
"address_2": "106",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584581",
"telephone_number": "480-391-7631",
"fax_number": "480-314-5493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRONCOSO",
"first_name": "VICTORIA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-29",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": "AZ",
"license": "DO2849",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "DO2849",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "Z76288",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.