Trevor Kenneth Stevens, IDMT

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

117 Kansas St
Travis, CA 94535

Phone

(661) 839-7559

NPI assigned

Dec 20, 2010

Last updated

Jun 6, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1861795429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 KANSAS ST",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351625",
            "telephone_number": "661-839-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 KANSAS ST",
            "city": "TRAVIS",
            "state": "CA",
            "postal_code": "94535",
            "telephone_number": "661-839-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "TREVOR",
        "middle_name": "KENNETH",
        "credential": "IDMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-20",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malika Moretti
• Mark Oribello, PA-C, MPH

• Independent Duty Medical Technicians in Travis, CA
• Providers in Travis, CA by specialty
• Independent Duty Medical Technicians in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.