Active NPI
Marvin Ghent Trotter, MD
- Internal Medicine Physician
- Ukiah, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G42597
- 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, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.41 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| G42597 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Redwood Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Ukiah Adventist Hospital | Current | Accepting new patients | |
| Ukiah Adventist Hospital | Current | Accepting new patients | |
| Round Valley Indian Health Center, Inc. | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | 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.
-
- Multi-Specialty Clinic/Center
- Hanford, CA
- NPI 1063718583
-
- Emergency Medicine Physician
- Ukiah, CA
- NPI 1033103676
-
- Clinic/Center
- Covelo, CA
- NPI 1669532750
-
dba Adventist Health Ukiah Valley
- General Acute Care Hospital
- Ukiah, CA
- NPI 1235120676
-
- Physical Therapy Clinic/Center
- Paradise, CA
- NPI 1134092190
-
- Ophthalmology Physician
- Ukiah, CA
- NPI 1831640184
-
dba Adventist Health Howard Pharmacy
- Community/Retail Pharmacy
- Willits, CA
- NPI 1629432968
-
- Multi-Specialty Clinic/Center
- Ukiah, CA
- NPI 1417295643
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Covelo, CA
- NPI 1114136066
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.