DR. KATHLEEN TRIVICH (NPI# 1871534552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871534552 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN TRIVICH |
| Credential | M.D. |
| Practice Address |
631 S Brookhurst St Ste 101 Anaheim CA 92804-3563 |
| Practice Telephone | 7149915700 |
| Practice Fax Number | 7149915800 |
| Mailing Telephone | 7149915700 |
| Mailing Fax Number | 7149915800 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 43731 | CA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | G43731 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A49450 | 05 |
| Street Address |
631 S BROOKHURST ST STE 101 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92804-3563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639662950 | Anthony Capati | Physician Assistant | 631 S Brookhurst St Ste 101, Anaheim, CA 92804-3563 | 2018-06-12 |
| 1023565785 | Jenny Nguyen | Physician Assistant | 631 S Brookhurst St Ste 101, Anaheim, CA 92804-3563 | 2016-09-09 |
| 1396198479 | Mary Hanna | Nurse Practitioner | 631 S Brookhurst St Ste 101, Anaheim, CA 92804-3563 | 2016-07-13 |
| 1801278908 | Min Ae Chung | Physician Assistant | 631 S Brookhurst St Ste 101, Anaheim, CA 92804-3563 | 2015-06-24 |
| 1710309018 | Kristen Connor | Physician Assistant | 631 S Brookhurst St Ste 101, Anaheim, CA 92804-3563 | 2014-01-06 |
| 1225326549 | Johnny Dionisio Caraballo | Physician Assistant | 631 S Brookhurst St Ste 101, Anaheim, CA 92804-3563 | 2011-07-20 |
| 1710186721 | Richard Loscalzo | Physician Assistant | 631 S Brookhurst St Ste 101, Anaheim, CA 92804 | 2007-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517261 | Crown Care Hospice Inc | Hospice Care, Community Based | 10568 Magnolia Ave., Suite106, Stanton, CA 92804 | 2020-04-24 |
| 1154971646 | Leita Pawline Lawrene | Technician | 900 S Beach Blvd # 132, Anaheim, CA 92804 | 2019-09-17 |
| 1942767611 | Yasmen Abuyousef | Behavior Technician | 714 W Commonweath Ave, Suite C, Fullerton, CA 92804 | 2019-02-28 |
| 1225501224 | Brandon Pourazima | Physician Assistant | 631 S Brookhurst St Ste 213b, Anaheim, CA 92804 | 2019-01-02 |
| 1043782576 | Origins Home Health Care Inc. | Home Health | 137 1/2 S So Knott, Anaheim, CA 92804 | 2018-12-21 |
| 1346762150 | Inhee Shinn | Acupuncturist | 1717 W. Ball Road., Anaheim, CA 92804 | 2017-07-13 |
| 1689122459 | Jayanthi Ravikumar Md Inc | Physical Medicine & Rehabilitation | 3356 W Ball Road, #216, Anaheim, CA 92804 | 2016-09-21 |
| 1215307954 | Tuan Manh Hoang | Dentist | 1317 S. Courtright Street, Anaheim, CA 92804 | 2015-10-06 |
| 1598101602 | Optimal Sleep Center | Clinical Medical Laboratory | 3340 West Ball Road Suite B, Anaheim, CA 92804 | 2013-05-15 |
| 1376885673 | Michelle Lananh Dang | Pharmacist | 1913 W. Elm Pl, Anaheim, CA 92804 | 2013-03-25 |
| Find all providers in zip 92804 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407493166 | Luminary Healthcare, Inc. | Internal Medicine | 721 N Euclid St Ste 100, Anaheim, CA 92801-4116 | 2019-12-02 |
| 1083267736 | Access Primary Care Physicians, Inc. | Internal Medicine | 1168 N Euclid St, Anaheim, CA 92801-1900 | 2019-07-22 |
| 1679069298 | My Md Inc | Internal Medicine | 1211 W La Palma Ave Ste 503, Anaheim, CA 92801-2812 | 2018-07-06 |
| 1932565637 | Michael Caberto | Internal Medicine | 2040 S Santa Cruz St Ste 215, Anaheim, CA 92805-6821 | 2016-01-11 |
| 1710382189 | Anooshiravan Hami, M.d., Corp | Internal Medicine | 3400 W. Ball Road, Suite 207, Anaheim, CA 92804-3737 | 2014-10-28 |
| 1003255837 | Richard Eugene Hughes | Internal Medicine | 1300 N. Kraemer Blvd., Anaheim, CA 92806 | 2013-06-14 |
| 1013278449 | Elizabeth Tioleco Cheng | Internal Medicine | 5505 E. Santa Ana Canyon Road, Anaheim, CA 92817-7098 | 2012-06-01 |
| 1306139035 | Shaiquel Arefin Jilani | Internal Medicine | 136 S Linhaven Cir, Anaheim, CA 92804-2474 | 2011-05-27 |
| 1245533926 | Janet L Schreiber Md A Medical Corporation | Internal Medicine | 3010 W. Orange Ave, #503, Anaheim, CA 92804-3174 | 2010-12-17 |
| 1912217720 | Sharon Sarah Herdan | Internal Medicine | 205 S Festival Dr Apt 201, Anaheim, CA 92808-1127 | 2010-10-14 |
| Find all providers in ANAHEIM | ||||
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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.