Active NPI
Russell J. Trepanier, P.A.-C.
- Physician Assistant
- La Jolla, CA
National Provider Identifier
1891745097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA15917
- Practice address
- 10666 N Torrey Pines Rd
La Jolla, CA 92037-1027 - Phone
- (858) 554-8663
- NPI assigned
- May 11, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA15917 | CA | Primary |
Addresses
Primary practice location
10666 N Torrey Pines Rd
La Jolla, CA 92037-1027
Mailing address
10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (858) 554-9100
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Scripps Clinic Medical Group, Inc | Past | Accepting new patients | |
| Scripps Clinic Medical Group | Past | Accepting new patients |
Locations
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626
Interoperability endpoints
- rtrepanier19028@scrippshlth.medalliesdirect.net
Organizations & group practices 3
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
- San Diego, CA
- NPI 1487928891
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1124003280
-
- Radiation Oncology Physician
- San Diego, CA
- NPI 1073853180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510790400000",
"number": "1891745097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10790 RANCHO BERNARDO RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921275705",
"telephone_number": "858-554-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10666 N TORREY PINES RD",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371027",
"telephone_number": "858-554-8663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREPANIER",
"first_name": "RUSSELL",
"middle_name": "J.",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2017-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA15917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.