Active NPI
Jessie Kha Trieu, M.D.
- Internal Medicine Physician
- Tualatin, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD190504
- Practice address
- 19875 SW 65TH Ave Ste 100
Tualatin, OR 97062-8353 - Phone
- (503) 692-7785
- NPI assigned
- Nov 8, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A123561 | CA | |
| Internal Medicine Physician | 207R00000X | MD190504 | OR | Primary |
Addresses
Primary practice location
19875 SW 65TH Ave Ste 100
Tualatin, OR 97062-8353
Mailing address
PO Box 6689
Portland, OR 97228-6689
Phone (503) 413-3900
Other practice location 1
2020 8th Ave Ste 100
West Linn, OR 97068
Phone (503) 655-3320
Other practice location 2
100 W. California Blvd
Continuing Medical Education
Pasadena, CA 91105
Phone (626) 397-5188
Other practice location 3
100 W. California Blvd
Continuing Medical Education
Pasadena, CA 91105
Phone (626) 397-5188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Michigan State University College of Human Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2020 8TH Ave
Suite 100
West Linn, OR 97068-4657
Phone (503) 655-3320
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A123561 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Meridian Park Hospital | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Internal Medicine | Current | Accepting new patients |
| Legacy Meridian Park Hospital | Current | Accepting new patients | |
| The Huntington Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Legacy Meridian Park Pediatric Rehab | Past | Accepting new patients | |
| Memorial Medical Group Inc | Past | Accepting new patients |
Locations
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
65 N Madison Ave
Ste 800
Pasadena, CA 91101
Phone (626) 792-3141
100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445
375 Huntington Dr
Ste G
San Marino, CA 91108
Phone (626) 441-4231
19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212
19875 SW 65th Ave
Ste 100
Tualatin, OR 97062
Phone (503) 692-7785
2020 8th Ave
Ste 100
West Linn, OR 97068
Phone (503) 353-1278
Interoperability endpoints
- jtrieu308337@direct.lhs.org
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
-
dba Optum
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
dba Huntington Health Physicians
- Internal Medicine Physician
- Pasadena, CA
- NPI 1154467181
-
- Hospitalist Physician
- Tualatin, OR
- NPI 1023305034
-
dba Optum
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
- Children's Rehabilitation Hospital
- Tualatin, OR
- NPI 1801122593
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1255523643
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Legacy Good Samaritan Providers
- Clinic/Center
- Portland, OR
- NPI 1679597108
Hospital
-
- General Acute Care Hospital
- Portland, OR
- NPI 1780608216
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
-
- General Acute Care Hospital
- Portland, OR
- NPI 1609824010
-
dba Providence Medical Group
- Clinic/Center
- Portland, OR
- NPI 1326272741
Hospital
-
dba Providence Willamette Falls Medical Center
- General Acute Care Hospital
- Oregon City, OR
- NPI 1912282369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712966400000",
"number": "1891049128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6689",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972286689",
"telephone_number": "503-413-3900",
"fax_number": "503-413-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19875 SW 65TH AVE STE 100",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970628353",
"telephone_number": "503-692-7785"
}
],
"practiceLocations": [
{
"address_1": "2020 8th Ave Ste 100",
"address_purpose": "LOCATION",
"city": "West Linn",
"state": "OR",
"postal_code": "97068",
"country_code": "US",
"telephone_number": "503-655-3320",
"fax_number": "503-655-3321",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 W. California Blvd",
"address_2": "Continuing Medical Education",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "91105",
"country_code": "US",
"telephone_number": "626-397-5188",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 W. California Blvd",
"address_2": "Continuing Medical Education",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "91105",
"country_code": "US",
"telephone_number": "626-397-5188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRIEU",
"first_name": "JESSIE",
"middle_name": "KHA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-08",
"last_updated": "2024-04-13",
"certification_date": "2024-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A123561",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD190504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.