Individual provider Active NPI

Vicki Maree Trevino, PA

  • Physician Assistant
  • Spokane, WA
National Provider Identifier
1487658225
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17774 Issued in CA
Practice address
4815 N Assembly St
Spokane, WA 99205-6185
Phone
(509) 434-7000
NPI assigned
Jun 9, 2005
Reactivated
Mar 29, 2007
Last updated
May 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60790077 WA
Physician Assistant 363A00000X PA17774 CA Primary

Addresses

Primary practice location

4815 N Assembly St
Spokane, WA 99205-6185

Mailing address

4815 N Assembly St
Spokane, WA 99205-6185
Phone (509) 434-7000

Other names 1

  • Ms. Vicki Maree Guzman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050218000339 CA Practitioner - Physician Assistant 5799737631 Reassigns benefits to 2 organizations
I20250725002000 WA Practitioner - Physician Assistant 5799737631 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Healing Care Specialists Wa PCGroup PAC ID 4880185354, 3 clinicians

Practice addresses (Care Compare)

450 Alaskan Way S
Suite 200
Seattle, WA 98104-2785
Phone (206) 208-9095

Merit-based Incentive Payment System (MIPS)

Final score
90.32 of 100Reported as group
Quality
89.54
Promoting interoperability
100
Improvement activities
40
Cost
74.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA17774CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Auc PC CurrentSince Oct 1, 2021 Accepting new patients
Altea Medical Washington PLLC CurrentSince Nov 1, 2025 Accepting new patients
John Muir Physician Network CurrentSince Oct 18, 2021 Accepting new patients
American Current Care of Washington, P.S. CurrentSince Jul 8, 2025 Accepting new patients
Wound Healing Care Specialists Wa PC CurrentSince Sep 23, 2025 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

400 Taylor Blvd
Ste 105
Pleasant Hill, CA 94523
Phone (925) 687-2570

400 Taylor Blvd
Ste 202
Pleasant Hill, CA 94523
Phone (925) 932-4567

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

1925 140th Ave NE
Bellevue, WA 98005
Phone (425) 865-8060

303 Telegraph Rd
Bellingham, WA 98226
Phone (360) 863-6696

3101 111th St SW
Unit Tu
Everett, WA 98204
Phone (425) 267-0299

2821 S Walden St
Seattle, WA 98144
Phone (206) 577-6200

450 Alaskan Way S
Ste 200
Seattle, WA 98104
Phone (206) 208-9095

6025 N Assembly St
Spokane, WA 99205
Phone (509) 326-8282

9222 N Newport Hwy
Ste 1
Spokane, WA 99218
Phone (509) 467-4545

6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1487658225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 N ASSEMBLY ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056185",
            "telephone_number": "509-434-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 N ASSEMBLY ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056185",
            "telephone_number": "509-434-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "VICKI",
        "middle_name": "MAREE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-09",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "deactivation_date": "2006-06-14",
        "reactivation_date": "2007-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60790077",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKI",
            "last_name": "GUZMAN",
            "middle_name": "MAREE",
            "prefix": "MS.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.