Jason Konstantin Trent, MD

Primary specialty

Forensic Pathology PhysicianTaxonomy code 207ZF0201X

License

C-3243 Issued in CA

Practice address

464 Luce Ave
Ukiah, CA 95482-5631

Phone

(707) 463-1578

NPI assigned

Apr 28, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Jason Konstatin Trent Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Medical Examiner

  dba Trent Associates

  • Specialist
  • Ukiah, CA
  • NPI 1417313560
  NPD (past) Authorized official

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1457934408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 LUCE AVE",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825631",
            "telephone_number": "707-463-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 LUCE AVE",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825631",
            "telephone_number": "707-463-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENT",
        "first_name": "JASON",
        "middle_name": "KONSTANTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "CA",
            "license": "C-3243",
            "primary": true
        },
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "HI",
            "license": "MD-1858",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASON",
            "last_name": "TRENT",
            "middle_name": "KONSTATIN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jessica Toste, LVN
• Jenny My Tran, PHARM.D.
• Phuc Cong Tran, DMD
• Jolene Treadaway, LCSW
• Casey Trent, DPT, PT
• Linda Triplett
• William Eric Triplett, HSW
• Marvin Ghent Trotter, MD
• Kathy Truelsen, NP
• Erika Littlefawn Tsonetokoy Coyle

• Forensic Pathology Physician in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Forensic Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.

Verify at the official NPI Registry.