Organization Active NPI

Trevin Thurman MD Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Los Angeles, CA
National Provider Identifier
1992296420
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
A114470 Issued in CA
Legal business name
TREVIN THURMAN MD INC
Practice address
11500 W Olympic Blvd Ste 640
Los Angeles, CA 90064-1525
Phone
(310) 853-6390
NPI assigned
May 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Authorized official

Name
Trevin Thurman
Title
MD
Phone
(310) 853-6390

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X A114470 CA Primary
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081S0010X A114470 CA

Addresses

Primary practice location

11500 W Olympic Blvd Ste 640
Los Angeles, CA 90064-1525

Mailing address

13428 Maxella Ave Ste 461
Marina del Rey, CA 90292-5620
Phone (310) 853-6390

Other practice location 1

13428 Maxella Ave Ste 461
Marina Del Rey, CA 90292-5620
Phone (310) 853-6390

National Provider Directory

National Provider Directory

Locations

13428 Maxella Ave
Ste 461
Marina del Rey, CA 90292
Phone (310) 853-6390

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1992296420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13428 MAXELLA AVE STE 461",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925620",
            "telephone_number": "310-853-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 W OLYMPIC BLVD STE 640",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641525",
            "telephone_number": "310-853-6390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13428 Maxella Ave Ste 461",
            "address_purpose": "LOCATION",
            "city": "Marina Del Rey",
            "state": "CA",
            "postal_code": "902925620",
            "country_code": "US",
            "telephone_number": "310-853-6390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TREVIN THURMAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "THURMAN",
        "authorized_official_first_name": "TREVIN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "310-853-6390"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A114470",
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "CA",
            "license": "A114470",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.

Verify at the official NPI Registry.