MARISSA DIORA TRINIDAD MD
NPI 1740817691
Student in an Organized Health Care Education/Training Program in Los Angeles, CA
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
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marissa Diora Trinidad Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Marissa Trinidad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90015
- Reassigned Medicare billing, California enrollment
- 45 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Marissa Trinidad's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Trinidad reassigns Medicare benefits to Northeast Community Clinic (Los Angeles, CA). The 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 Marissa Trinidad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Marissa Diora Trinidad, MD · NPI 1740817691
Student in an Organized Health Care Education/Training Program provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 23, 2020.
## Identity
- **NPI:** 1740817691 (Entity type: Individual)
- **Enumerated:** March 23, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1414 S GRAND AVE STE 200, Los Angeles, CA 90015
- **Phone:** (626) 457-5515
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northeast Community Clinic (NPI 1063927564, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1740817691) · Data from the CMS NPPES public registry.