Organization Active NPI

Trilogy Medical, Inc

  • General Practice Physician
  • Campbell, CA
National Provider Identifier
1578929907
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
20A5421 Issued in CA
Legal business name
TRILOGY MEDICAL, INC
Practice address
280 W Hamilton Ave
Campbell, CA 95008-0507
Phone
(408) 796-7017
NPI assigned
Jan 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Authorized official

Name
Jeff Lester, D.O.NPI 1457436990
Title
Owner
Phone
(408) 796-7017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 20A5421 CA Primary

Addresses

Primary practice location

280 W Hamilton Ave
Campbell, CA 95008-0507

Mailing address

280 W Hamilton Ave
Campbell, CA 95008-0507
Phone (408) 796-7017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161221001930 CA Part B Supplier - Clinic/Group Practice 2365723814 Receives reassigned benefits from 1 practitioner
Practice locations: Soquel, CA

National Provider Directory

National Provider Directory

Locations

280 W Hamilton Ave
Campbell, CA 95008
Phone (408) 866-8820

4105 Soquel Dr
#A
Soquel, CA 95073
Phone (831) 600-8117

65 Aspen Way
Ste 1
Watsonville, CA 95076
Phone (831) 721-1164

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1578929907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 W HAMILTON AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080507",
            "telephone_number": "408-796-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 W HAMILTON AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080507",
            "telephone_number": "408-796-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILOGY MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "LESTER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-796-7017",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A5421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.