JUVENTAS WEST A PROFESSIONAL MEDICAL CORPORATION
NPI 1356685101
Specialist in Santa Clara, CA
About Juventas West A Professional Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUVENTAS WEST A PROFESSIONAL MEDICAL CORPORATION (NPI 1356685101) is a healthcare organization registered as a specialist in Santa Clara, California and active in the NPI registry since November 2012. The organization maintains a secondary practice location in San Jose and lists Tien Trinh, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Juventas West A Professional Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Juventas West A Professional Medical Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Juventas West A Professional Medical Corporation's NPI number?
The NPI number for Juventas West A Professional Medical Corporation is 1356685101. It was assigned to this organization in the NPPES registry on November 17, 2012.
Where is Juventas West A Professional Medical Corporation located?
Juventas West A Professional Medical Corporation is located at 410 N Winchester Blvd, Santa Clara, CA 95050. The listed phone number is (650) 888-5728.
What is Juventas West A Professional Medical Corporation's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Juventas West A Professional Medical Corporation enrolled in Medicare?
Yes. Juventas West A Professional Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Juventas West A Professional Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Juventas West A Professional Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Juventas West A Professional Medical Corporation was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Juventas West A Professional Medical Corporation · NPI 1356685101
Specialist organization in Santa Clara, California. Organization record, active in the CMS NPPES registry since November 17, 2012.
## Identity
- **NPI:** 1356685101 (Entity type: Organization)
- **Enumerated:** November 17, 2012
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Tien Trinh, OWNER
## Practice location
- **Address:** 410 N WINCHESTER BLVD, Santa Clara, CA 95050-6325
- **Phone:** (650) 888-5728
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 21, 2026
- **Other identifiers:** Medicaid 00A891760 (CA); Medicaid 00Q796540 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1356685101) · Data from the CMS NPPES public registry.