Individual provider Active NPI

Marvin Ghent Trotter, MD

  • Internal Medicine Physician
  • Ukiah, CA
National Provider Identifier
1720027436
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G42597 Issued in CA
Practice address
275 Hospital Dr
Ukiah, CA 95482-4531
Phone
(707) 462-7900
Fax
(707) 462-7947
NPI assigned
Jun 6, 2006
Last updated
Mar 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G42597 CA
Internal Medicine Physician 207R00000X G42597 CA Primary

Addresses

Primary practice location

275 Hospital Dr
Ukiah, CA 95482-4531

Mailing address

275 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-7900

Other practice location 1

24065 Biggar lane
Covelo, CA 95428-0247
Phone (707) 983-6181

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
I20080408000613 CA Practitioner - Internal Medicine 8123105608 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.41 of 100Reported as group
Quality
86.32
Promoting interoperability
95
Improvement activities
40
Cost
66.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G42597CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Redwood Medical Group Inc Emergency Medicine CurrentSince Oct 1, 2002 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Nov 1, 2020 Accepting new patients
Ukiah Adventist Hospital CurrentSince Jun 21, 2025 Accepting new patients
Ukiah Adventist Hospital CurrentSince Jun 21, 2025 Accepting new patients
Round Valley Indian Health Center, Inc. CurrentSince Mar 23, 2020 Accepting new patients
Adventist Health Physicians Network CurrentSince Nov 1, 2020 Accepting new patients
Round Valley Indian Health Center Past Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients

Locations

15322 Lakeshore Dr
Ste 102
Clearlake, CA 95422
Phone (707) 994-2030

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 261-7821

1050 N State St
Ukiah, CA 95482
Phone (707) 463-7488

115 Hospital Dr
Ukiah, CA 95482
Phone (707) 463-1900

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1720027436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 HOSPITAL DR",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824531",
            "telephone_number": "707-462-7900",
            "fax_number": "707-462-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 HOSPITAL DR",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824531",
            "telephone_number": "707-462-7900",
            "fax_number": "707-462-7947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24065 Biggar lane",
            "address_purpose": "LOCATION",
            "city": "Covelo",
            "state": "CA",
            "postal_code": "954280247",
            "country_code": "US",
            "telephone_number": "707-983-6181",
            "fax_number": "707-983-8168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROTTER",
        "first_name": "MARVIN",
        "middle_name": "GHENT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G42597",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G42597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

Verify at the official NPI Registry.