Trista Dora Loutsenhizer

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

58923 Business Center Dr Ste E
Yucca Valley, CA 92284-7311

Phone

(760) 399-0565

NPI assigned

Mar 30, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1730829615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58923 BUSINESS CENTER DR STE E",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922847311",
            "telephone_number": "760-399-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58923 BUSINESS CENTER DR STE E",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922847311",
            "telephone_number": "760-399-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUTSENHIZER",
        "first_name": "TRISTA",
        "middle_name": "DORA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mandy Lomax, MFT-I
• Lombardo Cho Dental Partnership
• Robert Eugene Lombardo, DDS
• Lonnie W. Tiner, DDS, Apc (Hi-Desert Oral & Maxillofacial Surgery Center)
• Lorraine Loros
• Ellin Loveless, BC-HIS
• Dennis Gene Lowman, O.D.
• Clement Miles Lucero, M.A., MFT, INTERN
• Emilee Marie Lucero
• John Robert Lundstrom, D.D.S.

• Peer Specialist in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.