Individual provider Active NPI

Kevin Triggs, M.D.

  • Specialist
  • Orange, CA
National Provider Identifier
1699762500
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G57138 Issued in CA
Practice address
1310 W Stewart Dr
Suite 510
Orange, CA 92868-3854
Phone
(714) 538-8549
Fax
(714) 538-1547
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G57138 CA Primary

Addresses

Primary practice location

1310 W Stewart Dr
Suite 510
Orange, CA 92868-3854

Mailing address

1310 W Stewart Dr
Suite 510
Orange, CA 92868-3854
Phone (714) 538-8549

Other identifiers 1

IdentifierTypeStateIssuer
00G571380MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120201000814 CA Practitioner - Orthopedic Surgery 9436160546 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G57138CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Orthopedic Medica GP, Inc. the Providence BLDG Specialist CurrentSince Jul 1, 1990 Accepting new patients
Kevin Triggs MD Specialist Past Accepting new patients

Locations

1310 W Stewart Dr
Ste 510
Orange, CA 92868
Phone (714) 538-8549

1310 W Stewart Dr
Ste 410
Orange, CA 92868
Phone (714) 538-8549

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699762500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W STEWART DR",
            "address_2": "SUITE 510",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683854",
            "telephone_number": "714-538-8549",
            "fax_number": "714-538-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W STEWART DR",
            "address_2": "SUITE 510",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683854",
            "telephone_number": "714-538-8549",
            "fax_number": "714-538-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIGGS",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G57138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G571380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.