Individual provider Active NPI

Shirley Khanh-Dan Trinh

  • Physician Assistant
  • Chino, CA
National Provider Identifier
1386501682
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA67572 Issued in CA
Practice address
13768 Roswell Ave Ste 219
Chino, CA 91710-1407
Phone
(909) 655-0300
NPI assigned
Jan 7, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA67572 CA Primary

Addresses

Primary practice location

13768 Roswell Ave Ste 219
Chino, CA 91710-1407

Mailing address

13768 Roswell Ave Ste 219
Chino, CA 91710-1407

Other practice location 1

9481 Pittsburgh Ave Ste 200
Rancho Cucamonga, CA 91730-9021
Phone (909) 655-0300

Other practice location 2

250 W Bonita Ave Ste 250
Pomona, CA 91767-1864
Phone (909) 655-0300

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1386501682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE STE 219",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE STE 219",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101407",
            "telephone_number": "909-655-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9481 Pittsburgh Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917309021",
            "country_code": "US",
            "telephone_number": "909-655-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 W Bonita Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917671864",
            "country_code": "US",
            "telephone_number": "909-655-0300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRINH",
        "first_name": "SHIRLEY",
        "middle_name": "KHANH-DAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA67572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.