Individual provider Active NPI

Humberto Trevino Jr., MD

  • Family Medicine Physician
  • Novato, CA
National Provider Identifier
1841814209
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A198049 Issued in CA
Practice address
75 Rowland Way Ste 200
Novato, CA 94945-5054
Phone
(415) 897-9664
Fax
(415) 892-9589
NPI assigned
Jun 2, 2020
Last updated
Jul 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0071463 CO
Family Medicine Physician 207Q00000X MD217900 OR
Family Medicine Physician 207Q00000X A198049 CA Primary

Addresses

Primary practice location

75 Rowland Way Ste 200
Novato, CA 94945-5054

Mailing address

75 Rowland Way Ste 200
Novato, CA 94945-5054
Phone (415) 897-9664

Other practice location 1

2333 N 6th St
Grand Junction, CO 81501-2001
Phone (970) 200-1600

Other practice location 2

11130 Christus Hills
Medical Plaza 3, 3Rd FL
San Antonio, TX 78251
Phone (210) 703-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240123004736 OR Practitioner - Family Practice 5193147312 Reassigns benefits to 1 organization
I20250110001649 CA Practitioner - Family Practice 5193147312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2001 The Embarcadero
San Francisco, CA 94143-5200

75 Rowland Way
Suite 200
Novato, CA 94945-5054

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A198049CAMDFamily Medicine Physician
DR.0071463COMDFamily Medicine Physician
MD217900ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Hospitals CurrentSince Jan 1, 2025 Accepting new patients
Regents Univ of California UCSF CurrentSince Jul 25, 2025 Accepting new patients
Sutter Bay Hospitals Current Accepting new patients
Lane County Oregon CurrentSince Jun 17, 2024 Accepting new patients
Sutter Bay Hospitals CurrentSince Jan 1, 2025 Accepting new patients

Locations

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

5196 Hill Rd E
Ste 300
Lakeport, CA 95453
Phone (707) 263-6885

987 Parallel Dr
Ste C
Lakeport, CA 95453
Phone (707) 262-5000

75 Rowland Way
Ste 200
Novato, CA 94945
Phone (415) 897-3174

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

151 W 7th Ave
Eugene, OR 97401
Phone (541) 682-4041

1022 Green Acres Rd
Eugene, OR 97408
Phone (541) 682-3551

2073 Olympic St
Springfield, OR 97477
Phone (541) 682-3530

Interoperability endpoints

  • Direct secure messaging: htrevino707977@hisp.ehr.sutterhealth.org
  • Direct secure messaging: htrevino426832@direct-ucsfmedicalcenter.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1841814209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 ROWLAND WAY STE 200",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455054",
            "telephone_number": "415-897-9664",
            "fax_number": "415-892-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 ROWLAND WAY STE 200",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455054",
            "telephone_number": "415-897-9664",
            "fax_number": "415-892-9589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2333 N 6th St",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815012001",
            "country_code": "US",
            "telephone_number": "970-200-1600",
            "fax_number": "970-200-1611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11130 CHRISTUS HILLS",
            "address_2": "MEDICAL PLAZA 3, 3RD FL",
            "address_purpose": "LOCATION",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78251",
            "country_code": "US",
            "telephone_number": "210-703-9001",
            "fax_number": "210-703-9155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "HUMBERTO",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-02",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0071463",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD217900",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A198049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

Verify at the official NPI Registry.