Individual provider Active NPI

Alvin Trotter, M.D.

  • Internal Medicine Physician
  • Inglewood, CA
National Provider Identifier
1366540551
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G37072 Issued in CA
Practice address
644 E Regent St
Suite 200
Inglewood, CA 90301-1433
Phone
(310) 674-5353
Fax
(310) 674-7041
NPI assigned
Sep 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G37072 CA Primary

Addresses

Primary practice location

644 E Regent St
Suite 200
Inglewood, CA 90301-1433

Mailing address

644 E Regent St
Suite 200
Inglewood, CA 90301-1433
Phone (310) 674-5353

Other identifiers 1

IdentifierTypeStateIssuer
00G370720MedicaidCA

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
I20100915000517 CA Practitioner - Internal Medicine 2961468384 Practice locations: Inglewood, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Geffen School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

644 E Regent St
Suite 200
Inglewood, CA 90301-1444
Phone (310) 674-5353

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G37072CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phillip G McKinley M D Inc Past Accepting new patients
Randy Hawkins, M.D., Inc Internal Medicine Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366540551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 E REGENT ST",
            "address_2": "SUITE 200",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011433",
            "telephone_number": "310-674-5353",
            "fax_number": "310-674-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 E REGENT ST",
            "address_2": "SUITE 200",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011433",
            "telephone_number": "310-674-5353",
            "fax_number": "310-674-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROTTER",
        "first_name": "ALVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G37072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G370720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.