Individual provider Active NPI

Cassidy Michael Trimm, PT, DPT

  • Physical Therapist
  • La Jolla, CA
National Provider Identifier
1740708478
Registry record updated Sep 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
293496 Issued in CA
Practice address
9350 Campus Point Dr
La Jolla, CA 92037-1300
Phone
(858) 657-1239
NPI assigned
Sep 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 293496 CA Primary

Addresses

Primary practice location

9350 Campus Point Dr
La Jolla, CA 92037-1300

Mailing address

PO Box 232410
San Diego, CA 92193-2410

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171013002587 CA Practitioner - Physical Therapist in Private Practice 6305111568 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eggleton and Langton Physical Therapy Management ServicesGroup PAC ID 0840192530, 64 clinicians

Practice addresses (Care Compare)

2536 Rockwood Ave
Calexico, CA 92231-4407
Phone (760) 768-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Farid Zia Physical Therapist a Professional Corp Physical Therapist CurrentSince Aug 19, 2019 Accepting new patients
Regents of the University of California CurrentSince Aug 12, 2017 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients
Regents of the University of California Physical Therapy Current Accepting new patients
Regents of the University of California Physical Therapy CurrentSince Aug 12, 2017 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist CurrentSince Aug 5, 2024 Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients
Eggleton Langton Physical Therapy Management Services Physical Therapist Past Accepting new patients
Eggleton & Langton Physical Therapy Management Services Physical Therapist PastSince Aug 5, 2024 Accepting new patients

Locations

420 Heffernan Ave
Ste 2B
Calexico, CA 92231
Phone (760) 355-7929

2536 Rockwood Ave
Calexico, CA 92231
Phone (760) 768-3422

2536 Rockwood Ave
Ste 102
Calexico, CA 92231
Phone (760) 768-3422

2437 Fenton St
Ste B
Chula Vista, CA 91914
Phone (619) 656-5176

1698 Cruickshank Dr
Ste A
El Centro, CA 92243
Phone (760) 353-3422

1611 W Main St
El Centro, CA 92243
Phone (760) 337-1144

317 N El Camino Real
Ste 210
Encinitas, CA 92024
Phone (760) 337-1144

9350 Campus Point Dr
La Jolla, CA 92037
Phone (858) 657-0583

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

10225 Austin Dr
Ste 204
Spring Valley, CA 91978
Phone (619) 670-4567

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504656000000",
    "number": "1740708478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 CAMPUS POINT DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371300",
            "telephone_number": "858-657-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIMM",
        "first_name": "CASSIDY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-01",
        "last_updated": "2017-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.