Individual provider Active NPI

Victoria Troncoso, D.O.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Scottsdale, AZ
National Provider Identifier
1366534893
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
DO2849 Issued in AZ
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

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Z76288OtherAZPTAN

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
DO2849AZMDSports Medicine (Neuromusculoskeletal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bundschuh Osteopathic PLLC CurrentSince Jun 21, 2015 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.