Trina Eagal, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95004345 Issued in CA

Practice address

2633 Pacific Ave
Stockton, CA 95204-4429

Phone

(209) 944-5530

NPI assigned

May 19, 2016

Last updated

May 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JDABCA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Manshadi Heart Institute Inc

  • Interventional Cardiology Physician
  • Stockton, CA
  • NPI 1225380603
  Medicare reassignment NPD
• Sutter Valley Hospitals

  dba Sutter Auburn Faith Hospital

  • General Acute Care Hospital
  • Auburn, CA
  • NPI 1194774299
  NPD
• Sutter Valley Hospitals

  dba Sutter Roseville Medical Center

  • General Acute Care Hospital
  • Roseville, CA
  • NPI 1356390264
  NPD
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1811946734
  NPD
• San Joaquin Cardiology Medical Group Inc

  • Cardiovascular Disease Physician
  • Stockton, CA
  • NPI 1497785455
  NPD (past)

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1407203573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6118 RIVERBANK CIR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192524",
            "telephone_number": "209-608-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 PACIFIC AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952044429",
            "telephone_number": "209-944-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGAL",
        "first_name": "TRINA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dva Healthcare Renal Care Inc (Stockton Home Training Dialysis)
• Danyelle Annabelle Dwyer Manzo
• Dycora Transitional Health - Quail Lake LLC
• Dycora Transitional Health - Stockton LLC
• Dycora Transitional Health - Weber Oaks LLC
• Steven E Eager, MD
• Georgina Eagleton
• Angela Elaine Ealy-Hale
• Samuel Sokmenh Eang
• East Main Medical Pharmacy

• Family Nurse Practitioner in Stockton, CA
• Providers in Stockton, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.