PETRECCIA AND TROTTER MEDICAL CORPORATION (NPI# 1912062647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912062647 |
| Entity Type | Organization |
| Organization Name | PETRECCIA AND TROTTER MEDICAL CORPORATION |
| Other Organization Name | INFECTIOUS DISEASE CONSULTANTS MED. OFFICE, INC. |
| Practice Address |
1275 N. Rose Drive Suite 134 Placentia CA 92870-3919 |
| Practice Telephone | 7149966500 |
| Practice Fax Number | 7149961722 |
| Mailing Telephone | 7149966500 |
| Mailing Fax Number | 7149961722 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2019-11-04 |
| Authorized Official Name | JOEL A. TROTTER (PRESIDENT) |
| Authorized Official Telephone | 7149966500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
G65207 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0048130 | 05 | |
| PROVIDER IDENTIFICATION NUMBER | W15729 | 01 |
| Other Name | Type Code |
|---|---|
| Infectious Disease Consultants Med. Office, Inc. | Doing Business As Name - Organization |
| Street Address |
1275 N. ROSE DRIVE SUITE 134 |
| City | PLACENTIA |
| State | CA |
| Zip Code | 92870-3919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578690343 | Joel A Trotter | Specialist | 1275 N. Rose Drive, Suite 134, Placentia, CA 92870-3919 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952887499 | Makaela Mendelson | Speech-Language Pathologist | 240 South Placentia Avenue, Placentia, CA 92870 | 2018-07-18 |
| 1194186106 | Carrie Schultz | Licensed Vocational Nurse | 543 Del Rey Dr., Placentia, CA 92870 | 2016-03-18 |
| 1710350277 | Caremore Health Plan | Nurse Practitioner | 1325 N. Rose Drive #102, Placentia Linda, CA 92870 | 2015-11-05 |
| 1871999847 | Heather Ellen Johnson | Occupational Therapist | 740 S. Placentia Ave, Suite 100, Placentia, CA 92870 | 2014-11-18 |
| 1992101257 | Arcel Lopez Escoto | Physical Therapist | 740 S. Placentia Ave. Suite 100, Placentia, CA 92870 | 2014-11-14 |
| 1144642109 | Christine Taheran | Nurse Practitioner | 120 Downey Lane, Placentia, CA 92870 | 2014-01-10 |
| 1851644587 | Peter Glickman | Ophthalmology | 1050 E Yorba Linda Blvd., Suite 205, Placentia, CA 92870 | 2012-10-18 |
| 1396003844 | Jaymie Coria, D.d.s., Inc | Dentist | 302 E. Palm Drive, Suite #a, Placentia, CA 92870 | 2012-05-02 |
| 1164798609 | Adelina Rachi | Occupational Therapist | 740 S. Placentia Ave., Suite 100, Placentia, CA 92870 | 2012-03-29 |
| 1023305067 | Patricia Inez Byrne | Registered Nurse | 2001-d E. Orangethorpe Ave., Placentia, CA 92870 | 2011-06-28 |
| Find all providers in zip 92870 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1972643344 | Bhanu Sud | Internal Medicine | 1275 N Rose Dr, Suite 134, Placentia, CA 92870-3941 | 2007-02-07 |
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| 1407239700 | Alan Koff | Internal Medicine | 4860 Y St Ste 0101, Sacramento, CA 95817-2307 | 2015-07-04 |
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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.