Individual provider Active NPI

Kaitlyn Anh Trinh, OD

  • Optometrist
  • Torrance, CA
National Provider Identifier
1770040156
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34202TLG Issued in CA
Practice address
25360 Crenshaw Blvd
Torrance, CA 90505-6121
Phone
(424) 318-3726
NPI assigned
Feb 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34202TLG CA Primary

Addresses

Primary practice location

25360 Crenshaw Blvd
Torrance, CA 90505-6121

Mailing address

1143 Davis Way
Placentia, CA 92870-5236
Phone (714) 984-3913

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211020002963 CA Practitioner - Optometry 6305234535 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34202TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Kaitlyn Anh Trinh, O.D., Inc. CurrentSince Oct 6, 2021 Accepting new patients

Locations

1301 S Lone Hill Ave
Glendora, CA 91740
Phone (909) 394-1055

8500 Washington Blvd
Pico Rivera, CA 90660
Phone (562) 801-2413

25360 Crenshaw Blvd
Torrance, CA 90505
Phone (424) 318-3726

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": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1770040156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 DAVIS WAY",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928705236",
            "telephone_number": "714-984-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25360 CRENSHAW BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056121",
            "telephone_number": "424-318-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINH",
        "first_name": "KAITLYN",
        "middle_name": "ANH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34202TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.