Organization Active NPI

Trustfalls

  • Psychiatric/Mental Health Nurse Practitioner
  • Simi Valley, CA
National Provider Identifier
1801661343
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TRUSTFALLS
Practice address
2925 Sycamore Dr Ste 105
Simi Valley, CA 93065-1208
Phone
(818) 625-4814
NPI assigned
Nov 15, 2023
Last updated
Dec 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Rome Diostonne Evangelista, PMHNPNPI 1144902347
Title
Owner
Phone
(818) 625-4814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

2925 Sycamore Dr Ste 105
Simi Valley, CA 93065-1208

Mailing address

9250 Reseda Blvd Ste 16
Northridge, CA 91324-5213
Phone (818) 625-4814

National Provider Directory

National Provider Directory

Locations

9250 Reseda Blvd
Ste 16
Northridge, CA 91324
Phone (727) 224-7290

2925 Sycamore Dr
Ste 105
Simi Valley, CA 93065
Phone (805) 955-0532

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1801661343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 RESEDA BLVD STE 16",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913245213",
            "telephone_number": "818-625-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 SYCAMORE DR STE 105",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651208",
            "telephone_number": "818-625-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUSTFALLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "EVANGELISTA",
        "authorized_official_first_name": "ROME DIOSTONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-625-4814",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.