Individual provider Active NPI

Angela Diane Trinkle, M.O.T.

  • Occupational Therapist
  • Ridgecrest, CA
National Provider Identifier
1487895744
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
10521 Issued in CA
Practice address
330 E Ridgecrest Blvd
Suite D
Ridgecrest, CA 93555-5814
Phone
(760) 371-1411
Fax
(760) 371-1410
NPI assigned
Mar 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 10521 CA Primary

Addresses

Primary practice location

330 E Ridgecrest Blvd
Suite D
Ridgecrest, CA 93555-5814

Mailing address

330 E Ridgecrest Blvd
Suite D
Ridgecrest, CA 93555-5814
Phone (760) 371-1411

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select CS Physical Therapy, P.C. Occupational Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1487895744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E RIDGECREST BLVD",
            "address_2": "SUITE D",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935555814",
            "telephone_number": "760-371-1411",
            "fax_number": "760-371-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E RIDGECREST BLVD",
            "address_2": "SUITE D",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935555814",
            "telephone_number": "760-371-1411",
            "fax_number": "760-371-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINKLE",
        "first_name": "ANGELA",
        "middle_name": "DIANE",
        "credential": "M.O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "10521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgecrest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.