KENNY B TRINIDAD PAC
NPI 1417088469
Physician Assistant - Medical in Pasadena, CA
About Kenny B Trinidad Pac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNY B TRINIDAD PAC (NPI 1417088469) is an individual medical provider in Pasadena, California, licensed in California (PA17997) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kenny B Trinidad Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PASADENA, CA 91103
PASADENA, CA 91103
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 Kenny Trinidad's NPI number?
The NPI number for Kenny Trinidad is 1417088469. It was assigned to this individual provider in the NPPES registry on March 8, 2007.
Where is Kenny Trinidad located?
Kenny Trinidad practices at 1845 N Fair Oaks Ave, Pasadena, CA 91103. The listed phone number is (626) 744-6049.
What is Kenny Trinidad's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Kenny Trinidad enrolled in Medicare?
Yes. Kenny Trinidad is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kenny Trinidad was last updated on April 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.
# Kenny B Trinidad, PAC · NPI 1417088469
Medical physician in Pasadena, California. Individual provider, active in the CMS NPPES registry since March 8, 2007.
## Identity
- **NPI:** 1417088469 (Entity type: Individual)
- **Enumerated:** March 8, 2007
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA17997 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1845 N FAIR OAKS AVE, Pasadena, CA 91103-1620
- **Phone:** (626) 744-6049 · **Fax:** (626) 396-7315
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 10, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1417088469) · Data from the CMS NPPES public registry.