KENNY B TRINIDAD (NPI# 1417088469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417088469 |
| Entity Type | Individual |
| Full Name | KENNY B TRINIDAD |
| Credential | PAC |
| Practice Address |
1845 N Fair Oaks Ave Pasadena CA 91103-1620 |
| Mailing Address |
11500 Odessa Avenue Granada Hills CA 91344 |
| Practice Telephone | 6267446049 |
| Practice Fax Number | 6263967315 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2008-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA17997 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1845 N FAIR OAKS AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91103-1620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235267006 | Mumbi L Ngunjiri | Nurse Practitioner | 1845 N Fair Oaks Ave, Suite 2600, Pasadena, CA 91103-1620 | 2007-03-01 |
| 1750932794 | Veronica Nesta | Case Manager/Care Coordinator | 1845 N Fair Oaks Ave, Pasadena, CA 91103-1620 | 2019-09-20 |
| 1891281085 | Jonathan Galvez | Dentist | 1845 N Fair Oaks Ave, Pasadena, CA 91103-1620 | 2018-07-10 |
| 1578079174 | Ronald Hillary | Social Worker | 1845 N Fair Oaks Ave, Pasadena, CA 91103-1620 | 2017-12-18 |
| 1144739301 | Alexander Lozano | Counselor | 1845 N Fair Oaks Ave, Pasadena, CA 91103-1620 | 2017-09-20 |
| 1699208207 | Annie Mae Scott | Counselor | 1845 N Fair Oaks Ave, Pasadena, CA 91103-1620 | 2017-04-10 |
| 1003351735 | Gabriela Gorostieta | Registered Nurse | 1845 N Fair Oaks Ave, Chdp, Pasadena, CA 91103-1620 | 2017-01-04 |
| 1144685819 | Jwch Institute, Inc | Clinic/Center | 1845 N Fair Oaks Ave, G-151, Pasadena, CA 91103-1620 | 2015-12-23 |
| 1801261011 | Wesley Health Centers At Andrew Escajeda | Clinic/Center | 1845 N Fair Oaks Ave, Pasadena, CA 91103-1620 | 2015-12-14 |
| 1033594981 | Jane Wairimu | Licensed Vocational Nurse | 1845 N Fair Oaks Ave, 2600, Pasadena, CA 91103-1620 | 2015-07-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013407071 | Sean Patrick Comingore | Counselor | 1680 N. Fair Oaks Ave., Pasadena, CA 91103 | 2018-05-15 |
| 1093230252 | John Jesus Smith | Rehabilitation Practitioner | 867 Fair Oaks Ave, Pasadena, CA 91103 | 2017-08-09 |
| 1760906085 | Roberto Sotelo Jr. | Licensed Vocational Nurse | 867 North Fair Oaks Ave., Pasadena, CA 91103 | 2017-07-28 |
| 1477076172 | Towana Danielle Hooks | Rehabilitation Practitioner | 867 North Fair Oaks, Pasadena, CA 91103 | 2017-07-25 |
| 1437671807 | Yolanda Centeno | Marriage & Family Therapist | 867 Fairoaks., Pasadena, CA 91103 | 2017-07-07 |
| 1306366604 | Joseph Anthony Zepeda | Counselor | 1680 N. Fair Oaks Avenue, Pasadena, CA 91103 | 2017-06-27 |
| 1922537372 | Chaznii Bradford | Licensed Vocational Nurse | 867 N. Fair Oaks, Pasadena, CA 91103 | 2017-06-08 |
| 1629505425 | Wassim Ammary | Pharmacist | 1855 South Fair Oaks Ave, Pasadena, CA 91103 | 2017-05-11 |
| 1679005920 | Grace Caroline Seto | Marriage & Family Therapist | 236 W. Mountain St, Suite 202d, Pasadena, CA 91103 | 2017-03-28 |
| 1225575293 | Catherine Lynn Gray | Psychologist | 30 North Raymond Avenue, Suite 403, Pasadena, CA 91103 | 2017-01-27 |
| Find all providers in zip 91103 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194175281 | Holly Stabler | Physician Assistant | 150 W Dayton St Apt 4037, Pasadena, CA 91105-4555 | 2016-06-20 |
| 1235551995 | Theresa Sivers-teixeira | Physician Assistant | 625 South Fair Oaks, #400, Pasadena, CA 91105 | 2014-01-15 |
| 1679704548 | Diana A Perez | Physician Assistant | 5213 Center St, Pasadena, TX 77505-1866 | 2009-07-27 |
| 1366677254 | Yana Yarchuk | Physician Assistant | 65 N Madison Ave Ste 310, Pasadena, CA 91101-2050 | 2009-05-20 |
| 1861545352 | Mihaela Varga | Physician Assistant | 473 N Fair Oaks Ave, Pasadena, CA 91103-3621 | 2007-01-19 |
| 1255436366 | Bertha Campos | Physician Assistant | 3801 Vista Rd Ste 100, Pasadena, TX 77504-2160 | 2006-09-13 |
| 1619970191 | Andrew Vargas | Physician Assistant | 3315 Burke Rd, Ste 202, Pasadena, TX 77504-1823 | 2005-05-27 |
| 1265905236 | Nicole Fiss | Physician Assistant | 1045 N Lake Ave, Pasadena, CA 91104-4521 | 2019-01-02 |
| 1730670753 | Mary Katherine Byrd Armstrong | Physician Assistant | 4450 E Sam Houston Pkwy S Ste H2, Pasadena, TX 77505-3950 | 2018-05-24 |
| 1376086140 | Jasleen Kaur | Physician Assistant | 797 S Fair Oaks Ave, Pasadena, CA 91105-2617 | 2016-11-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.