Individual provider Active NPI

Trina Ann Pangelina, PSY.D.

  • Psychologist
  • Torrance, CA
National Provider Identifier
1710032768
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY19161 Issued in CA
Practice address
25500 Hawthorne Blvd
Suite 1240
Torrance, CA 90505-6829
Phone
(310) 373-5711
Fax
(310) 373-0571
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY19161 CA Primary
Clinical Child & Adolescent Psychologist 103TC2200X PSY19161 CA

Addresses

Primary practice location

25500 Hawthorne Blvd
Suite 1240
Torrance, CA 90505-6829

Mailing address

25500 Hawthorne Blvd
Suite 1240
Torrance, CA 90505-6829
Phone (310) 373-5711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 13, 2024 through May 13, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY19161CAMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1710032768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 HAWTHORNE BLVD",
            "address_2": "SUITE 1240",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056829",
            "telephone_number": "310-373-5711",
            "fax_number": "310-373-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 HAWTHORNE BLVD",
            "address_2": "SUITE 1240",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056829",
            "telephone_number": "310-373-5711",
            "fax_number": "310-373-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGELINA",
        "first_name": "TRINA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY19161",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY19161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.