Individual provider Active NPI

Trevor Forrest Haas, MD

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1750845707
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A177506 Issued in CA
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

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240805000889 CA Practitioner - Psychiatry 0345640686 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
A177506CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Health Solutions a Professional Medical Corporation Psychiatry CurrentSince Sep 16, 2024 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.

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

Verify at the official NPI Registry.