Individual provider Active NPI

Aizzel Ramas Trieu, NP

  • Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1689214074
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F0416179 Issued in CA
Practice address
3524 Jackfrost CT
Riverside, CA 92503-4500
Phone
(951) 496-7912
NPI assigned
Jan 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F0416179 CA Primary

Addresses

Primary practice location

3524 Jackfrost CT
Riverside, CA 92503-4500

Mailing address

3524 Jackfrost CT
Riverside, CA 92503-4500
Phone (951) 496-7912

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20201030001028 CA Practitioner - Nurse Practitioner 9133539224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
David Desai MD IncGroup PAC ID 6204148794, 9 clinicians

Practice addresses (Care Compare)

2131 Elks Dr
Suite 104
San Bernardino, CA 92404-5571
Phone (909) 966-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F0416179CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zion Health and Wellness of California Nurse Practitioner CurrentSince Jan 1, 2026 Accepting new patients
Connect Care Health Inc Nurse Practitioner CurrentSince Jan 7, 2026 Accepting new patients
Revive Mental Health Inc Current Accepting new patients
David Desai MD Inc CurrentSince Aug 14, 2023 Accepting new patients
High Desert Psychological Services CurrentSince Feb 9, 2022 Accepting new patients

Locations

7365 Carnelian St
Ste 112
Rancho Cucamonga, CA 91730
Phone (909) 941-4000

1030 Nevada St
Ste 101
Redlands, CA 92374
Phone (909) 362-3727

2131 Elks Dr
Ste 104
Sn Bernrdno, CA 92404
Phone (909) 966-5500

15497 W Sand St
Victorville, CA 92392
Phone (442) 327-9311

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1689214074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 JACKFROST CT",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034500",
            "telephone_number": "951-496-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 JACKFROST CT",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925034500",
            "telephone_number": "951-496-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIEU",
        "first_name": "AIZZEL",
        "middle_name": "RAMAS",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "F0416179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.