Active NPI
Trustfalls
- Psychiatric/Mental Health Nurse Practitioner
- Simi Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rome Diostonne Evangelista, PMHNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Encino, CA
- NPI 1144902347
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.