Individual provider Active NPI

Robert Joseph Trentacosta, DO

  • Critical Care Medicine (Internal Medicine) Physician
  • San Diego, CA
National Provider Identifier
1619338712
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
DO2023-0249 Issued in NM
Practice address
34800 Bob Wilson Dr
San Diego, CA 92134-2197
Phone
(619) 532-6400
NPI assigned
Mar 16, 2016
Last updated
Apr 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0102204966 VA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 0102204966 VA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X DO2023-0249 NM Primary
Pulmonary Disease Physician 207RP1001X 0102204966 VA

Addresses

Primary practice location

34800 Bob Wilson Dr
San Diego, CA 92134-2197

Mailing address

5790 Caminito Pulsera
La Jolla, CA 92037-7159
Phone (858) 232-6226

Other practice location 1

801 W Maple St
Farmington, NM 87401-5630
Phone (505) 609-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230426000995 NM Practitioner - Critical Care (Intensivists) 4183910391 Reassigns benefits to 1 organization
I20240903002390 CA Practitioner - Internal Medicine 4183910391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scripps Health Inpatient Providers Medical Group IncGroup PAC ID 9436314762, 209 clinicians

Practice addresses (Care Compare)

801 W Maple St
Farmington, NM 87401-5630

9888 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 626-4123

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as group
Quality
79.73
Promoting interoperability
100
Improvement activities
40
Cost
78.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102204966VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan Regional Medical Center Inc Current Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Inpatient Providers Medical Group Inc. Critical Care Medicine CurrentSince Aug 11, 2024 Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Apr 6, 2023 Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Apr 6, 2023 Accepting new patients
Scripps Health Internal Medicine Past Accepting new patients

Locations

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

10666 N Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 554-2626

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

10140 Campus Point Dr
San Diego, CA 92121
Phone (858) 678-7050

4820 E Main St
Ste 2
Farmington, NM 87402
Phone (505) 609-6610

801 W Maple St
Farmington, NM 87401
Phone (505) 325-5011

Organizations & group practices 6

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 3

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": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1619338712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5790 CAMINITO PULSERA",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377159",
            "telephone_number": "858-232-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921342197",
            "telephone_number": "619-532-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 W Maple St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874015630",
            "country_code": "US",
            "telephone_number": "505-609-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRENTACOSTA",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-16",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102204966",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "VA",
            "license": "0102204966",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NM",
            "license": "DO2023-0249",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0102204966",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.