Individual provider Active NPI

Paige Kathryn Trivedi

  • Physician Assistant
  • Hawthorne, CA
National Provider Identifier
1548043870
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA66612 Issued in CA
Practice address
14650 Aviation Blvd Ste 100
Hawthorne, CA 90250-6667
Phone
(323) 306-9632
Fax
(323) 268-6738
NPI assigned
Aug 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA66612 CA Primary

Addresses

Primary practice location

14650 Aviation Blvd Ste 100
Hawthorne, CA 90250-6667

Mailing address

14650 Aviation Blvd Ste 200
Hawthorne, CA 90250-6670
Phone (323) 306-9632

Other practice location 1

11600 Wilshire Blvd Ste 324
Los Angeles, CA 90025-1785
Phone (323) 306-9632

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250906000007 CA Practitioner - Physician Assistant 2466954615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14650 Aviation Blvd
Suite 200
Hawthorne, CA 90250-6665

1700 E Cesar E Chavez Ave
Suite 2500
Los Angeles, CA 90033-2434

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66612CAMDPharmacist
PA66612CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Citrus Valley Medical Associates, Inc. PastSince Aug 2, 2021 Accepting new patients
Samir a Shah MD Professional Corporation Past Accepting new patients
Employee Medical Consultants PC Past Accepting new patients
Michael R. Gatto MD, Inc. PastSince Aug 1, 2007 Accepting new patients

Organizations & group practices 5

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": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1548043870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14650 AVIATION BLVD STE 200",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506670",
            "telephone_number": "323-306-9632",
            "fax_number": "323-268-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14650 AVIATION BLVD STE 100",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506667",
            "telephone_number": "323-306-9632",
            "fax_number": "323-268-6738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11600 Wilshire Blvd Ste 324",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900251785",
            "country_code": "US",
            "telephone_number": "323-306-9632",
            "fax_number": "323-268-6738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "PAIGE",
        "middle_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA66612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

Verify at the official NPI Registry.