Grant Williams Trimble, PA-C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

60457 Issued in CA

Practice address

2126 Solano St
Corning, CA 96021-2713

Phone

(530) 824-4002

NPI assigned

Feb 14, 2019

Last updated

Dec 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Dignity Health

  dba Dignity Health Women's Health Services

  • Rural Health Clinic/Center
  • Red Bluff, CA
  • NPI 1518400787
  NPD (past)
• Dignity Health

  dba Dignity Health Solano Street Medical Clinic

  • Rural Health Clinic/Center
  • Corning, CA
  • NPI 1609246461
  NPD (past)

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1609332782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 WATERSIDE VIEW DR",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430048587",
            "telephone_number": "740-418-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 SOLANO ST",
            "city": "CORNING",
            "state": "CA",
            "postal_code": "960212713",
            "telephone_number": "530-824-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIMBLE",
        "first_name": "GRANT",
        "middle_name": "WILLIAMS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-14",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "50.005897RX",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "60457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breann Thomas, LM
• Thrifty Payless Inc (Rite Aid Pharmacy 06188)
• Timothy W. Robertson, O.D., Professional Corporation (Corning Eyecare Center of Optometry)
• Tin RX the Independent Network, Inc. (TIN Rx)
• Clementina Torres
• Trinity Healthcare Associates
• Victoria Viveros-Zarco
• Jacqueline Voisine, PHYSCH TECH
• Logan Charles Walker, FNP
• Sherylanne Donna Kay Warren, RDH, EPDH, MS

• Internal Medicine Physician in Corning, CA
• Providers in Corning, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.