Trillium Med Spa, Cosmetic Surgery, & Laser Center

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A103922 Issued in CA

Legal business name

TRILLIUM MED SPA, COSMETIC SURGERY, & LASER CENTER

Practice address

32144 Agoura Rd
Suite 207
Westlake Village, CA 91361-4031

Phone

(818) 597-9300

Fax

(818) 597-9328

NPI assigned

Aug 10, 2011

Organization subpart

No

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

Authorized official

Name

Troy Christopher Williams, MD

Title

President

Phone

(818) 597-9300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Trillium Med Spa Cosmetic Surgery and Laser Center

  • Obstetrics & Gynecology Physician
  • Moorpark, CA
  • NPI 1467607127

  O20180817002050

  Same enrollment

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angelica Chang, FNP-C

  • Family Nurse Practitioner
  • Thousand Oaks, CA
  • NPI 1639824287
  NPD (past)
• Kaycee Ann Forinash

  • Family Nurse Practitioner
  • Tarzana, CA
  • NPI 1689382327
  NPD (past)
• Vineeta C Keswani, MD

  • Emergency Medicine Physician
  • Northridge, CA
  • NPI 1023069382
  NPD (past)
• Sheila Kay Najarilla Padre

  • Family Nurse Practitioner
  • Panorama City, CA
  • NPI 1245076769
  NPD (past)

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312934400000",
    "number": "1992084776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32144 AGOURA RD",
            "address_2": "SUITE 207",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614031",
            "telephone_number": "818-597-9300",
            "fax_number": "818-597-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32144 AGOURA RD",
            "address_2": "SUITE 207",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614031",
            "telephone_number": "818-597-9300",
            "fax_number": "818-597-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILLIUM MED SPA, COSMETIC SURGERY, & LASER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-597-9300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A103922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Townsgate Enterprises LLC
• Townsgate Enterprises LLC
• James T Tran, D.D.S.
• Vanessa Grace Treadwell
• Trillium Inc
• Mann Trinh, O.D.
• Triunfo Enterprises, Inc.
• Gregory Lee Trnavsky, D.D.S
• Stephen Donald Trudeau, PSY.D
• True Potential Therapy Incorporated

• Obstetrics & Gynecology Physician in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.