Individual provider Active NPI

Kimberly Trinh

  • Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1568025724
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
902 Clint Moore Rd Ste 227
Boca Raton, FL 33487-2800
Phone
(561) 241-6676
NPI assigned
Apr 15, 2019
Last updated
Apr 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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 Primary

Addresses

Primary practice location

902 Clint Moore Rd Ste 227
Boca Raton, FL 33487-2800

Mailing address

902 Clint Moore Rd Ste 227
Boca Raton, FL 33487-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190429002034 FL Practitioner - Physician Assistant 7719229491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
On Site Dermatology LLCGroup PAC ID 5991736837, 20 clinicians

Practice addresses (Care Compare)

101 Trinity Lakes Dr
Sun City Center, FL 33573-5755
Phone (877) 345-5300

1010 American Eagle Blvd
Sun City Center, FL 33573-5284
Phone (561) 241-6676

1015 7TH Ave E
Bradenton Oaks Assisted Living and Memory C
Bradenton, FL 34208-2103
Phone (877) 345-5300

1080 NW 15TH St
Boca Raton, FL 33486-1331
Phone (561) 241-6676

11330 Countryway Blvd
Tampa, FL 33626-2670
Phone (877) 345-5300

11705 Evening Walk Dr
Bradenton, FL 34211-9508
Phone (877) 345-5300

11741 Lake Aston CT
Tampa, FL 33626-3100
Phone (877) 345-5300

1200 S 15TH St
Fernandina Beach, FL 32034-3056
Phone (561) 241-6676

12006 McIntosh Rd
Thonotosassa, FL 33592-3838
Phone (877) 345-5300

12110 Morris Bridge Rd
Temple Terrace, FL 33637-1924
Phone (877) 345-5300

13470 Boyette Rd
Riverview, FL 33569-5706
Phone (877) 345-5300

1412 N 42ND St
Tampa, FL 33613-2955
Phone (877) 345-5300

14527 N Florida Ave
Tampa, FL 33613-2134
Phone (877) 345-5300

17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (877) 345-5300

1819 Providence Ridge Blvd
Brandon, FL 33511-1899
Phone (877) 345-5300

18600 Highwoods Preserve Pkwy
Tampa, FL 33647-1719
Phone (877) 345-5300

21021 Betel Palm LN
Land O Lakes, FL 34638-2571
Phone (877) 345-5300

2200 Livingston Rd
Land O Lakes, FL 34639-3416
Phone (877) 345-5300

231 Courtyard Blvd
Sun City Center, FL 33573-5759
Phone (877) 345-5300

3140 Forest Rd
Spring Hill, FL 34606-3379
Phone (877) 345-5300

320 S Lakewood Dr
Brandon, FL 33511-0809
Phone (877) 345-5300

3260 Lake Pointe Blvd
Sarasota, FL 34231-6896
Phone (561) 241-6676

3280 Lake Pointe Blvd
Sarasota, FL 34231-6896
Phone (877) 345-5300

3330 S Macdill Ave
Tampa, FL 33629-8822
Phone (877) 345-5300

3720 W Bay to Bay Blvd
Angels Senior Living at Palma Ceia
Tampa, FL 33629-6912
Phone (877) 345-5300

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Mobility LLC Past Accepting new patients

Organizations & group practices 2

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": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1568025724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 CLINT MOORE RD STE 227",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 CLINT MOORE RD STE 227",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334872800",
            "telephone_number": "561-241-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINH",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.