Active NPI
Robert Trifunovic
- Obstetrics & Gynecology Physician
- Escondido, CA
National Provider Identifier
1700820305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G65362
- Practice address
- 488 E. Valley Parkway
Suite 311
Escondido, CA 92025-3373 - Phone
- (760) 233-1896
- Fax
- (760) 233-1899
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G65362 | CA | Primary |
Addresses
Primary practice location
488 E. Valley Parkway
Suite 311
Escondido, CA 92025-3373
Mailing address
488 E. Valley Parkway
Suite 311
Escondido, CA 92025-3373
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G653620 | Other | CA | BLUE SHIELD |
| 00G653620 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G65362 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Escondido OB-GYN Medical Group, Inc | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Escondido, CA
- NPI 1679512024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1700820305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "488 E. VALLEY PARKWAY",
"address_2": "SUITE 311",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920253373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "488 E. VALLEY PARKWAY",
"address_2": "SUITE 311",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920253373",
"telephone_number": "760-233-1896",
"fax_number": "760-233-1899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIFUNOVIC",
"first_name": "ROBERT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G65362",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G653620",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G653620",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.