Active NPI
Cesar D Trivino MD PA
- Pain Medicine (Anesthesiology) Physician
- Borger, TX
National Provider Identifier
1366629024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- L5592
- Legal business name
- CESAR D TRIVINO MD PA
- Practice address
- 200 S McGee St
Anesthesia Suite
Borger, TX 79007-4022 - Phone
- (806) 275-9064
- NPI assigned
- Jan 24, 2008
- Last updated
- Oct 7, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cesar David Trivino, MD
- Title
- President
- Phone
- (806) 275-9064
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | L5592 | TX | Primary |
Addresses
Primary practice location
200 S McGee St
Anesthesia Suite
Borger, TX 79007-4022
Mailing address
304 Loma Linda LN Ste 100
Borger, TX 79007-8500
Phone (806) 275-9064
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0078KQ | Other | TX | BCBS |
| 1629230-01 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254873600000",
"number": "1366629024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 LOMA LINDA LN STE 100",
"city": "BORGER",
"state": "TX",
"postal_code": "790078500",
"telephone_number": "806-275-9064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S MCGEE ST",
"address_2": "ANESTHESIA SUITE",
"city": "BORGER",
"state": "TX",
"postal_code": "790074022",
"telephone_number": "806-275-9064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CESAR D TRIVINO MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-24",
"last_updated": "2009-10-07",
"status": "A",
"authorized_official_last_name": "TRIVINO",
"authorized_official_first_name": "CESAR",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "806-275-9064",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "L5592",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0078KQ",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629230-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Borger, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.