Active NPI
Trevin Thurman MD Inc
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Los Angeles, CA
National Provider Identifier
1992296420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- A114470
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | A114470 | CA | Primary |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 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 DirectoryLocations
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.