Organization Active NPI

Vera Trofimenko, MD Inc

  • Urology Physician
  • Santa Ana, CA
National Provider Identifier
1730987140
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
VERA TROFIMENKO, MD INC
Practice address
1801 N Broadway
Santa Ana, CA 92706-2626
Phone
(714) 984-6640
Fax
(714) 984-6604
NPI assigned
Mar 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Vera Trofimenko, MDNPI 1518224112
Title
Owner
Phone
(714) 984-6640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

1801 N Broadway
Santa Ana, CA 92706-2626

Mailing address

1801 N Broadway
Santa Ana, CA 92706-2626
Phone (714) 984-6640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250613001043 CA Part B Supplier - Clinic/Group Practice 7012428451 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Ana, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1730987140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062626",
            "telephone_number": "714-984-6640",
            "fax_number": "714-984-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062626",
            "telephone_number": "714-984-6640",
            "fax_number": "714-984-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERA TROFIMENKO, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "TROFIMENKO",
        "authorized_official_first_name": "VERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-984-6640",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.