Individual provider Active NPI

Daniel Todd Trimble, PA-C

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1376889907
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5343 Issued in AZ
Practice address
5301 E Grant Rd
Orthopaedic BLDG, 1St Floor
Tucson, AZ 85712-2805
Phone
(520) 784-6200
Fax
(520) 784-6109
NPI assigned
Dec 31, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 5343 AZ
Physician Assistant 363A00000X 5343 AZ Primary
Medical Physician Assistant 363AM0700X 5343 AZ

Addresses

Primary practice location

5301 E Grant Rd
Orthopaedic BLDG, 1St Floor
Tucson, AZ 85712-2805

Mailing address

PO Box 31630
Tucson, AZ 85751-1630
Phone (520) 784-6200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dtrimble684119@direct.med.utah.edu Direct University of Utah

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240318001723 UT Practitioner - Physician Assistant 8527203827 Reassigns benefits to 2 organizations
I20260407003128 OH Practitioner - Physician Assistant 8527203827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vitalcare Health Services PCGroup PAC ID 2264961861, 46 clinicians

Practice addresses (Care Compare)

1001 N 500
Provo, UT 84604-3305
Phone (505) 320-9952

1032 E 100
St George, UT 84770-3005
Phone (844) 210-6186

115 N Portland St
Chesterville, OH 43317-5006
Phone (844) 210-6186

1490 E Foremaster Dr
St George, UT 84790-4488
Phone (844) 210-6186

1934 E Riverside Dr
St George, UT 84790-8034
Phone (844) 210-6186

242 N 200
St George, UT 84770-2710
Phone (844) 210-6186

2750 N Digital Dr
Lehi, UT 84043-6651
Phone (844) 210-6186

3430 Harrison Blvd
Ogden, UT 84403-1231
Phone (844) 210-6186

3742 W 2150
Suite 150
Lehi, UT 84048-7802
Phone (844) 210-6186

375 E 5350
Ogden, UT 84405-6934
Phone (844) 210-6186

411 W 1325
Cedar City, UT 84721-7720
Phone (844) 210-6186

416 N State St
Hurricane, UT 84737-1875
Phone (844) 210-6186

523 N Main St
Bountiful, UT 84010-6036
Phone (844) 210-6186

575 E 1400
Orem, UT 84097-7707
Phone (844) 210-6186

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services CurrentSince Feb 4, 2024 Accepting new patients
University of Utah Adult Services CurrentSince Feb 4, 2024 Accepting new patients
Vitalcare Medical Services PA Physician Assistant PastSince Aug 25, 2025 Accepting new patients

Locations

127 S 500 E
Ste 400B
Salt Lake City, UT 84102
Phone (801) 587-6478

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

Interoperability endpoints

  • Direct secure messaging: dtrimble684119@direct.med.utah.edu

Organizations & group practices 5

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": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1376889907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31630",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857511630",
            "telephone_number": "520-784-6200",
            "fax_number": "520-784-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 E GRANT RD",
            "address_2": "ORTHOPAEDIC BLDG, 1ST FLOOR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122805",
            "telephone_number": "520-784-6200",
            "fax_number": "520-784-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIMBLE",
        "first_name": "DANIEL",
        "middle_name": "TODD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-31",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "5343",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5343",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5343",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dtrimble684119@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.