Individual provider Active NPI

Michael Scott Trenner, RRT

  • Registered Respiratory Therapist
  • Portola, CA
National Provider Identifier
1376785121
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
RC1192 Issued in NV
Practice address
545 Fourth St
Portola, CA 96122-7601
Phone
(530) 832-9946
NPI assigned
Mar 25, 2009
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
00005718CAMDRegistered Respiratory Therapist
RC1192NVMDRegistered Respiratory Therapist

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 00005718 CA
Registered Respiratory Therapist 227900000X RC1192 NV Primary

Addresses

NPPES NPI Registry

Primary practice location

545 Fourth St
Portola, CA 96122-7601

Mailing address

545 Fourth St
Portola, CA 96122-7601
Phone (530) 832-9946

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 25, 2009.

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237939200000",
    "number": "1376785121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 FOURTH ST",
            "city": "PORTOLA",
            "state": "CA",
            "postal_code": "961227601",
            "telephone_number": "530-832-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 FOURTH ST",
            "city": "PORTOLA",
            "state": "CA",
            "postal_code": "961227601",
            "telephone_number": "530-832-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENNER",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "credential": "RRT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "CA",
            "license": "00005718",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "NV",
            "license": "RC1192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portola, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.

Verify at the official NPI Registry.