Tri County Family Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TRI COUNTY FAMILY MEDICAL CLINIC

Practice address

2400 Sierra Street
Kingsburg, CA 93631

Phone

(559) 897-2963

Fax

(559) 897-1194

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Bruce A Trevino, MD

Title

President

Phone

(559) 897-2963

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joy Anne Nelson Rodriguez, M.D.

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1205982220
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1386796423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 SIERRA STREET",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "93631",
            "telephone_number": "559-897-2963",
            "fax_number": "559-897-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 SIERRA STREET",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "93631",
            "telephone_number": "559-897-2963",
            "fax_number": "559-897-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "TREVINO",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-897-2963",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0025690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Way Home LLC
• Tracey H Nguyen OD - Professional Optometric Corporation
• My Tran
• Brent John Treihel, COTA
• Bruce A Trevino, MD
• United Health Centers of the San Joaquin Valley
• Valley Health Team Inc (Kingsburg Community Health Center)
• Valley Health Team Inc (Kings River Union Elementary School District Behavioral Health Center)
• Vanessa Vazquez Vidal, NP
• Jonathan Manuel Velasquez

• Family Medicine Physician in Kingsburg, CA
• Providers in Kingsburg, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.