Active NPI
Trevor Forrest Haas, MD
- Psychiatry Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A177506
- Practice address
- Psychiatry Residency Program
2010 Zonal Ave #1P10
Los Angeles, CA 90033-1026 - Phone
- (323) 442-4000
- NPI assigned
- Jan 24, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A177506 | CA | Primary |
Addresses
Primary practice location
Psychiatry Residency Program
2010 Zonal Ave #1P10
Los Angeles, CA 90033-1026
Mailing address
Psychiatry Residency Program
2010 Zonal Ave #1P10
Los Angeles, CA 90033-1026
Phone (323) 442-4000
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 Compare- Specialty
- Psychiatry
- Education
- University of California, Davis School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12301 Wilshire Blvd
Los Angeles, CA 90025-1000
Phone (424) 538-4494
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A177506 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Health Solutions a Professional Medical Corporation | Psychiatry | Current | Accepting new patients |
Locations
1503 S Coast Dr
Ste 111
Costa Mesa, CA 92626
Phone (714) 206-6868
1020 Suncast Ln
Ste 108
El Dorado Hills, CA 95762
Phone (916) 932-0380
12301 Wilshire Blvd
Ste 415
Los Angeles, CA 90025
5455 Wilshire Blvd
Ste 903
Los Angeles, CA 90036
Phone (628) 244-4364
3300 Webster St
Ste 402
Oakland, CA 94609
Phone (510) 451-6020
3300 Webster St
Ste 804
Oakland, CA 94609
Phone (510) 451-0996
3300 Webster St
Ste 812
Oakland, CA 94609
Phone (510) 465-1690
3300 Webster St
Ste 803
Oakland, CA 94609
360 Post St
Ste 500
San Francisco, CA 94108
Phone (415) 671-6819
360 Post St
Ste 1000
San Francisco, CA 94108
Phone (415) 964-5137
12301 Wilshire Blvd
Ste 210
West Los Angeles, CA 90025
Phone (310) 204-1950
Organizations & group practices 1
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.
-
- Psychiatry Physician
- San Francisco, CA
- NPI 1881894483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1750845707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PSYCHIATRY RESIDENCY PROGRAM",
"address_2": "2010 ZONAL AVE #1P10",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331026",
"telephone_number": "323-442-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PSYCHIATRY RESIDENCY PROGRAM",
"address_2": "2010 ZONAL AVE #1P10",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331026",
"telephone_number": "323-442-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAS",
"first_name": "TREVOR",
"middle_name": "FORREST",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-24",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A177506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.