Individual provider Active NPI

Trieu Viet DO, MD

  • Surgery Physician
  • Riverside, CA
National Provider Identifier
1427300839
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A194583 Issued in CA
Practice address
4234 Riverwalk Pkwy Ste 120
Riverside, CA 92505-3304
Phone
(951) 373-5800
Fax
(951) 344-8303
NPI assigned
Oct 9, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X A194583 CA
Trauma Surgery Physician 2086S0127X A194583 CA
Surgery Physician 208600000X A194583 CA Primary

Addresses

Primary practice location

4234 Riverwalk Pkwy Ste 120
Riverside, CA 92505-3304

Mailing address

4234 Riverwalk Pkwy Ste 230
Riverside, CA 92505-3312
Phone (408) 460-5374

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240821001195 CA Practitioner - General Surgery 6204183312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Wisconsin School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El-Bershawi Medical CorpGroup PAC ID 9032298492, 44 clinicians

Practice addresses (Care Compare)

4234 Riverwalk Pkwy
Suite 230
Riverside, CA 92505-3312
Phone (951) 781-3672

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.59 of 100Reported as group
Quality
52.13
Improvement activities
40
Cost
66.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux12
Removal of tissue12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A194583CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El-Bershawi Medical Corp CurrentSince Oct 1, 2024 Accepting new patients
Pacific Professional Surgical Group Inc Trauma Surgery Past Accepting new patients

Locations

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

4 Hughes
Ste 100
Irvine, CA 92618
Phone (949) 679-6874

550 N Monterey Ave
Ontario, CA 91764
Phone (909) 629-2290

10841 White Oak Ave
Rch Cucamonga, CA 91730
Phone (626) 914-1514

4234 Riverwalk Pkwy
Ste 230
Riverside, CA 92505
Phone (951) 373-5819

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

4234 Riverwalk Pkwy
Ste 120
Riverside, CA 92505
Phone (909) 418-2700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: trieu.do.p1@direct.pacificpulm.nextgenshare.com

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1427300839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY STE 230",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053312",
            "telephone_number": "408-460-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY STE 120",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053304",
            "telephone_number": "951-373-5800",
            "fax_number": "951-344-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "TRIEU",
        "middle_name": "VIET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-09",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CA",
            "license": "A194583",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "A194583",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A194583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.