Active NPI
Trost Ca LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- San Diego, CA
National Provider Identifier
1417652876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- TROST CA LLC
- Practice address
- 3111 Camino del Rio N
San Diego, CA 92108-5720 - Phone
- (619) 853-5636
- NPI assigned
- Apr 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jared Turner
- Title
- Billing Manager
- Phone
- (772) 812-9652
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
3111 Camino del Rio N
San Diego, CA 92108-5720
Mailing address
120 N Federal Hwy Ste 206
Lake Worth, FL 33460-3493
National Provider Directory
National Provider DirectoryLocations
120 N Federal Hwy
Ste 206
Lake Worth Beach, FL 33460
Phone (954) 560-5260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703116800000",
"number": "1417652876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 N FEDERAL HWY STE 206",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334603493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3111 CAMINO DEL RIO N",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921085720",
"telephone_number": "619-853-5636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TROST CA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-04",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A",
"authorized_official_last_name": "TURNER",
"authorized_official_first_name": "JARED",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "772-812-9652",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.