Revonia J Truby, NP

Primary specialty

Women's Health Clinical Nurse SpecialistTaxonomy code 364SW0102X

License

202745 Issued in CA

Practice address

11905 So Central Ave
#201
Los Angeles, CA 90059

Phone

(323) 566-6911

Fax

(323) 566-6896

NPI assigned

Feb 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1952436651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 LEVELSIDE AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "90712",
            "telephone_number": "562-421-4375",
            "fax_number": "323-566-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11905 SO CENTRAL AVE",
            "address_2": "#201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90059",
            "telephone_number": "323-566-6911",
            "fax_number": "323-566-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUBY",
        "first_name": "REVONIA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP 1160",
            "primary": false
        },
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "CA",
            "license": "202745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0011600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Susan Joslin Troy
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• Alexandria Trubatisky, FNP-C
• Anita Ann Trudell, ANITA TRUDELL, CNM
• True Care Community Clinic Inc.
• True Choice Home Health, Inc.
• True Essence Acupuncture Inc
• True Health Medical Group PC

• Clinical Nurse Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.