Active NPI
Rogelio Trevino Jr., A.B.O.C
- Optician
- Temecula, CA
National Provider Identifier
1780076539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 169153
- Practice address
- 41975 Margarita Rd
#145
Temecula, CA 92591-2868 - Phone
- (951) 250-8091
- NPI assigned
- Mar 2, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 169153 | CA | Primary |
Addresses
Primary practice location
41975 Margarita Rd
#145
Temecula, CA 92591-2868
Mailing address
41975 Margarita Rd
#145
Temecula, CA 92591-2868
Phone (951) 250-8091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 169153 | CA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425254400000",
"number": "1780076539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41975 MARGARITA RD",
"address_2": "#145",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925912868",
"telephone_number": "951-250-8091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41975 MARGARITA RD",
"address_2": "#145",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925912868",
"telephone_number": "951-250-8091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVINO",
"first_name": "ROGELIO",
"name_suffix": "Jr.",
"credential": "A.B.O.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-02",
"last_updated": "2015-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CA",
"license": "169153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.