Active NPI
Haley Trivoli
- Mastectomy Fitter
- Glendale, CA
National Provider Identifier
1891257499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mastectomy Fitter
- Practice address
- 232 N Brand Blvd
Glendale, CA 91203-2610 - Phone
- (818) 241-5616
- Fax
- (818) 241-0132
- NPI assigned
- Apr 2, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mastectomy Fitter | 224900000X | Primary |
Addresses
Primary practice location
232 N Brand Blvd
Glendale, CA 91203-2610
Mailing address
232 N Brand Blvd
Glendale, CA 91203-2610
Phone (818) 241-5616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laura'S Corset Shoppe Inc. | Current | Accepting new patients |
Locations
232 N Brand Blvd
Glendale, CA 91203
Phone (818) 241-5616
Organizations & group practices 1
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.
-
- Customized Equipment (DME)
- Glendale, CA
- NPI 1902935901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1891257499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 N BRAND BLVD",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912032610",
"telephone_number": "818-241-5616",
"fax_number": "818-241-0132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 N BRAND BLVD",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912032610",
"telephone_number": "818-241-5616",
"fax_number": "818-241-0132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIVOLI",
"first_name": "HALEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-02",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "224900000X",
"taxonomy_group": "",
"desc": "Mastectomy Fitter",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.