Active NPI
Trenton Raley
- Student in an Organized Health Care Education/Training Program
- Tucson, AZ
National Provider Identifier
1376424960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- I027011
- Practice address
- 1295 N Martin Ave
Tucson, AZ 85721-0001 - Phone
- (520) 626-1657
- NPI assigned
- Sep 10, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | I027011 | AZ | Primary |
Addresses
Primary practice location
1295 N Martin Ave
Tucson, AZ 85721-0001
Mailing address
1540 N 3Rd Ave Unit 1
Tucson, AZ 85705-6746
Other practice location 1
6488 N Oracle Rd
Tucson, AZ 85704-5620
Phone (520) 297-8397
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I027011 | AZ | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona CVS Stores LLC | Past | Accepting new patients | |
| Arizona CVS Stores LLC | Past | Accepting new patients |
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.
-
- Pharmacy
- Peoria, AZ
- NPI 1134549181
-
- Pharmacy
- Tucson, AZ
- NPI 1427092774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1376424960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 N 3RD AVE UNIT 1",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857056746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1295 N MARTIN AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857210001",
"telephone_number": "520-626-1657"
}
],
"practiceLocations": [
{
"address_1": "6488 N Oracle Rd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857045620",
"country_code": "US",
"telephone_number": "520-297-8397",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RALEY",
"first_name": "TRENTON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-10",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AZ",
"license": "I027011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.