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MARISSA DIORA TRINIDAD MD
NPI 1740817691
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 23, 2020PECOS Enrolled
1414 S GRAND AVE STE 200, LOS ANGELES, CA 90015(626) 457-5515 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2023, Apr 1, 2020, Mar 23, 2020 (3 updates tracked since 2020).

About Marissa Diora Trinidad Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA DIORA TRINIDAD MD (NPI 1740817691) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1740817691
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARISSA DIORA TRINIDADCredential: MD
Location Address1414 S GRAND AVE STE 200Los Angeles, CA 90015
Mailing Address1414 S Grand Ave Ste 200Los Angeles, CA 90015-3067
Phone(626) 457-5515
Sole ProprietorNo
Enumeration DateMarch 23, 2020
Last NPPES UpdateApril 7, 20233 updates tracked since enumeration
NPPES CertifiedApril 7, 2023
✔ NPI 1740817691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPediatricsTaxonomy 208000000X · License 184932 (CA)
1414 S GRAND AVE STE 200, Los Angeles, CA 90015
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Secondary Practice Location 1

Location 1757 Westwood Plaza, PediatricsLos Angeles, CA 90095-7419 · Phone (912) 431-0267

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marissa Diora Trinidad Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NELLIE FIGUEROA
Nurse Practitioner (Family)
1414 S GRAND AVE STE 200
LOS ANGELES, CA 90015
Los Angeles County (213) 743-9000
MARIA DEL CARMEN SERA
Health Educator
1414 S GRAND AVE STE 200
LOS ANGELES, CA 90015
Los Angeles County (213) 743-9000
DAYSI DEL CARMEN CONSUEGRA
Health Educator
1414 S GRAND AVE STE 200
LOS ANGELES, CA 90015
Los Angeles County (213) 222-1300
AMANDA ERICA BAILEY MD
Pediatrics
1414 S GRAND AVE STE 200
LOS ANGELES, CA 90015
Los Angeles County (213) 743-9000
NADINE BELTRAN PA-C
Physician Assistant
1414 S GRAND AVE STE 200
LOS ANGELES, CA 90015
Los Angeles County (213) 743-9000
MARISELA CORNELIO
Health Educator
1414 S GRAND AVE STE 200
LOS ANGELES, CA 90015
Los Angeles County (213) 222-1300
MR. JOHN P CABRERA MSW
Social Worker (Clinical)
1414 S GRAND AVE STE 200
LOS ANGELES, CA 90015
Los Angeles County (213) 743-9000
JOSE SEBASTIAN MEDINA MD
Family Medicine
1414 S GRAND AVE STE 200
LOS ANGELES, CA 90015
Los Angeles County (213) 419-9600

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 Marissa Trinidad's NPI number?

The NPI number for Marissa Trinidad is 1740817691. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Marissa Trinidad located?

Marissa Trinidad practices at 1414 S Grand Ave Ste 200, Los Angeles, CA 90015. The listed phone number is (626) 457-5515.

What is Marissa Trinidad's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Marissa Trinidad enrolled in Medicare?

Yes. Marissa Trinidad is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marissa Trinidad was last updated on April 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.