Trinity Procare

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

H-102091 Issued in CA

Legal business name

TRINITY PROCARE

Practice address

6930 N Polaris PL
Tucson, AZ 85741-2435

Phone

(928) 273-7501

NPI assigned

Jun 16, 2009

Last updated

Jun 16, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

TRINITY PROCAREAs reported in NPPES

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

Authorized official

Name

Dr. Jason Corey Bullard, M.D.

Title

President

Phone

(928) 273-7501

Specialties & licenses 4

Addresses

Part of

Trinity Procare

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1487881561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2752 S STEWART AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043859",
            "telephone_number": "602-531-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 N POLARIS PL",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412435",
            "telephone_number": "928-273-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY PROCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY PROCARE",
        "enumeration_date": "2009-06-16",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "BULLARD",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "COREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-273-7501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "102091",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "102091",
            "primary": false
        },
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": "CA",
            "license": "102091",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "H-102091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huong Jane Hoai Trinh, RN, C-ANP
• Johnny Minh Trinh, MD
• Sean Trinh
• Sylvia Anh Trinh, PHARMD
• Trinity Home LLC
• Trinity's House
• Ipsita Hamid Trisha
• Linda Jean Tristani, PHARM.D.
• Ashley Tritz, PHARMD
• Triumph Counseling Services Inc. (Jeffrey Zabel)

• Physical Medicine & Rehabilitation Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.