Active NPI
Andre Vinsensius Trigno, PT, DPT
- Physical Therapist
- Ontario, CA
National Provider Identifier
1447898689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 297611
- Practice address
- 1101 S Milliken Ave Ste C
Ontario, CA 91761-8112 - Phone
- (909) 390-2799
- NPI assigned
- Dec 18, 2019
- 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 | 297611 | CA | Primary |
Addresses
Primary practice location
1101 S Milliken Ave Ste C
Ontario, CA 91761-8112
Mailing address
1853 Raintree PL
San Bernardino, CA 92408-3649
Phone (909) 272-6607
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 |
|---|---|---|---|
| 297611 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576627200000",
"number": "1447898689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1853 RAINTREE PL",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083649",
"telephone_number": "909-272-6607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 S MILLIKEN AVE STE C",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917618112",
"telephone_number": "909-390-2799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIGNO",
"first_name": "ANDRE",
"middle_name": "VINSENSIUS",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-12-18",
"last_updated": "2019-12-18",
"certification_date": "2019-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "297611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.