Individual provider Active NPI

Vera Trofimenko, M.D., M.A.S.

  • Urology Physician
  • Santa Ana, CA
National Provider Identifier
1518224112
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
150027 Issued in CA
Practice address
1801 N Broadway
Santa Ana, CA 92706-2626
Phone
(714) 984-6640
Fax
(714) 984-6604
NPI assigned
Apr 19, 2012
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 150027 CA Primary

Addresses

Primary practice location

1801 N Broadway
Santa Ana, CA 92706-2626

Mailing address

1801 N Broadway
Santa Ana, CA 92706-2626
Phone (714) 984-6640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180920002954 CA Practitioner - Urology 2567694110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of California, San Diego School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1801 N Broadway
Suite a
Santa Ana, CA 92706-2626
Phone (714) 984-6640

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
150027CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vera Trofimenko, MD Inc Urology CurrentSince Mar 5, 2025 Accepting new patients

Locations

1801 N Broadway
Santa Ana, CA 92706
Phone (714) 547-5741

1801 N Broadway
Ste A
Santa Ana, CA 92706
Phone (714) 628-1341

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1518224112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062626",
            "telephone_number": "714-984-6640",
            "fax_number": "714-984-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062626",
            "telephone_number": "714-984-6640",
            "fax_number": "714-984-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROFIMENKO",
        "first_name": "VERA",
        "name_prefix": "Dr.",
        "credential": "M.D., M.A.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "150027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.