Organization Active NPI

Trina Health, LLC

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
National Provider Identifier
1629342993
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
TRINA HEALTH, LLC
Practice address
4441 Auburn Blvd
J
Sacramento, CA 95841
Phone
(916) 550-1050
Fax
(916) 550-1238
NPI assigned
Mar 2, 2012
Last updated
Dec 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Authorized official

Name
Faith A Roediger de Bonilla
Title
Credentialing/Contracting Specialis
Phone
(916) 226-3736

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Infusion Therapy Clinic/Center 261QI0500X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

4441 Auburn Blvd
J
Sacramento, CA 95841

Mailing address

5112 Bailey Loop
McClellan, CA 95652-2519
Phone (916) 550-1050

Other identifiers 1

IdentifierTypeStateIssuer
A33983OtherCALICENCE

National Provider Directory

National Provider Directory

Locations

5112 Bailey Loop
McClellan, CA 95652
Phone (916) 643-2222

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1629342993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5112 BAILEY LOOP",
            "city": "MCCLELLAN",
            "state": "CA",
            "postal_code": "956522519",
            "telephone_number": "916-550-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 AUBURN BLVD",
            "address_2": "J",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95841",
            "telephone_number": "916-550-1050",
            "fax_number": "916-550-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINA HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "ROEDIGER DE BONILLA",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING/CONTRACTING SPECIALIS",
        "authorized_official_telephone_number": "916-226-3736"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "A33983",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.