Active NPI
Trent Lindon White
- Physical Therapist
- Irvine, CA
National Provider Identifier
1437742475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT23603
- Practice address
- 17682 Mitchell N Ste 100
Irvine, CA 92614-6037 - Phone
- (951) 551-8201
- NPI assigned
- Feb 19, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT23603 | CA | Primary |
Addresses
Primary practice location
17682 Mitchell N Ste 100
Irvine, CA 92614-6037
Mailing address
30935 Brassie LN
Temecula, CA 92591-3916
Phone (951) 551-8201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT23603 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613692800000",
"number": "1437742475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30935 BRASSIE LN",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925913916",
"telephone_number": "951-551-8201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17682 MITCHELL N STE 100",
"city": "IRVINE",
"state": "CA",
"postal_code": "926146037",
"telephone_number": "951-551-8201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "TRENT",
"middle_name": "LINDON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-19",
"last_updated": "2021-02-19",
"certification_date": "2021-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT23603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.