Active NPI
Trinh Thi Reyes, L.C.S.W
- Clinical Social Worker
- San Leandro, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW64458
- Practice address
- 2500 Fairmont Dr
San Leandro, CA 94578-1005 - Phone
- (510) 667-3000
- Fax
- (510) 667-3001
- NPI assigned
- Aug 12, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW64458 | CA | Primary |
Addresses
Primary practice location
2500 Fairmont Dr
San Leandro, CA 94578-1005
Mailing address
2500 Fairmont Dr
San Leandro, CA 94578-1005
Phone (510) 667-3000
Other practice location 1
3900 Newpark Mall Ste 209
Newark, CA 94560-5241
Phone (510) 793-9255
Other practice location 2
2060 Fairmont Dr
San Leandro, CA 94578-1001
Phone (510) 346-7500
Other names 1
- Trinh Thi Ho
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW64458 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PC | Clinical | Current | Accepting new patients |
Locations
99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
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": "1250035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577750400000",
"number": "1801028642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 FAIRMONT DR",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945781005",
"telephone_number": "510-667-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 FAIRMONT DR",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945781005",
"telephone_number": "510-667-3000",
"fax_number": "510-667-3001"
}
],
"practiceLocations": [
{
"address_1": "3900 Newpark Mall Ste 209",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "CA",
"postal_code": "945605241",
"country_code": "US",
"telephone_number": "510-793-9255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2060 Fairmont Dr",
"address_purpose": "LOCATION",
"city": "San Leandro",
"state": "CA",
"postal_code": "945781001",
"country_code": "US",
"telephone_number": "510-346-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYES",
"first_name": "TRINH",
"middle_name": "THI",
"credential": "L.C.S.W",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-12",
"last_updated": "2019-12-31",
"certification_date": "2019-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW64458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRINH",
"last_name": "HO",
"middle_name": "THI",
"credential": "L.C.S.W",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.