Eduardo Trevino, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3201 W Peoria Ave Ste D700
Phoenix, AZ 85029-4612

Phone

(602) 863-1716

NPI assigned

Apr 18, 2020

Last updated

Oct 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

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

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.

• Elite ENT

  • Otolaryngology Physician
  • Phoenix, AZ
  • NPI 1457801300
  NPD (past)
• Maritza I. Irizarry MD Inc

  dba Sunshine Pediatrics

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1548273113
  NPD (past)
• Southwest Pediatrics Payment Processing, LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1063138196
  NPD (past)

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

{
    "created_epoch": "1587168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1417577537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE STE D700",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294612",
            "telephone_number": "602-863-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE STE D700",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294612",
            "telephone_number": "602-863-1716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5040 N 15th Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850153329",
            "country_code": "US",
            "telephone_number": "623-245-0505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "EDUARDO",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-18",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina A Tretter, NP-C
• Andres Marcelo Trevino-Alvarez, MD
• Savannah Trevino-Casias, LPC
• Brittany Ann Trevino-Gombar, FNP-BC
• Gisel Trevino-Martinez
• Sienna Trevino
• Tri-City Espress Care, PLLC (FastMed Urgent Care)
• Tri-City Express Care, PLLC (FastMed Urgent Care)
• Tri-City Express Care, PLLC (FastMed Urgent Care)
• Tri-City Express Care, PLLC (FastMed Urgent Care)

• Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.