NPIMap

Individual provider Active NPI

Ruth Prange Trotter, MD

  • Internal Medicine Physician
  • Seaside, CA
National Provider Identifier
1629022363
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A71474 Issued in CA
Practice address
1150 Fremont Blvd
Seaside, CA 93955-5715
Phone
(831) 899-8100
Fax
(831) 899-8105
NPI assigned
May 19, 2006
Last updated
Oct 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A71474 CA Primary

Addresses

Primary practice location

1150 Fremont Blvd
Seaside, CA 93955-5715

Mailing address

1615 Bunker Hill Way
Suite 100
Salinas, CA 93906-6013
Phone (831) 796-1304

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ15686ZOtherCAMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050511000862 CA Practitioner - Internal Medicine 3173563897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Eastern Virginia Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of MontereyGroup PAC ID 2466345632, 186 clinicians

Practice addresses (Care Compare)

1156 Fremont Blvd
Seaside, CA 93955-5756
Phone (831) 899-8100

1441 Constitution Blvd
Salinas, CA 93906-3100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71474CAMDPharmacist
A71474CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Monterey Current Accepting new patients
County of Monterey CurrentSince May 1, 2015 Accepting new patients
Monterey County Behavioral Health Division Past Accepting new patients
County of Monterey Past Accepting new patients

Locations

1441 Constitution Blvd
Bldg 151
Salinas, CA 93906
Phone (831) 755-8640

Interoperability endpoints

  • Direct secure messaging: rtrotter11494@direct.ochin.org

Organizations & group practices 4

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 5

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1629022363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 BUNKER HILL WAY",
            "address_2": "SUITE 100",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939066013",
            "telephone_number": "831-796-1304",
            "fax_number": "831-757-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 FREMONT BLVD",
            "city": "SEASIDE",
            "state": "CA",
            "postal_code": "939555715",
            "telephone_number": "831-899-8100",
            "fax_number": "831-899-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROTTER",
        "first_name": "RUTH",
        "middle_name": "PRANGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A71474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "ZZZ15686Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaside, CA

Sources for this page

Verify at the official NPI Registry.