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DANIEL TREVIZO MD
NPI 1972007425
Family Medicine in W Sacramento, CA

Active since March 20, 2018PECOS Enrolled
500 JEFFERSON BLVD STE B180, W SACRAMENTO, CA 95605(916) 403-2900(530) 204-5248 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 7, 2021, Mar 20, 2018 (2 updates tracked since 2018).

About Daniel Trevizo Md NPPES

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

DANIEL TREVIZO MD (NPI 1972007425) is an individual family medicine provider in W Sacramento, California, licensed in California (A163932) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972007425
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDANIEL TREVIZOCredential: MD
Location Address500 JEFFERSON BLVD STE B180W Sacramento, CA 95605-2394
Mailing Address500 Jefferson Blvd Ste B180W Sacramento, CA 95605-2394 · (916) 403-2900 · Fax (530) 204-5248
Phone(916) 403-2900
Fax(530) 204-5248
Sole ProprietorNo
Enumeration DateMarch 20, 2018
Last NPPES UpdateApril 21, 20252 updates tracked since enumeration
NPPES CertifiedApril 21, 2025
✔ NPI 1972007425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A163932
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
500 JEFFERSON BLVD STE B180, W Sacramento, CA 95605
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Trevizo 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.

Medicare Billing Reassignment

Medicare enrollment records show Daniel Trevizo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ole Health
Same address
Federally Qualified Health Center (FQHC)
500 B JEFFERSON BLVD, #180
West Sacramento, CA 95605
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Communicare Health Centers
  • 64 clinicians in this Medicare group
NPI 1710087515 (916) 375-6400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

EVA AZUCENA BERNAL CAMPOS
Social Worker
500 JEFFERSON BLVD STE B180
WEST SACRAMENTO, CA 95605
Yolo County (916) 370-3841
DR. EDWIN ALPHONSE LICHWA II D.O.
Family Medicine
500 JEFFERSON BLVD STE B180
WEST SACRAMENTO, CA 95605
Yolo County (916) 375-6400
COMMUNICARE HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
500 JEFFERSON BLVD STE B180
WEST SACRAMENTO, CA 95605
Yolo County (916) 403-2900
COMMUNICARE HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
500 JEFFERSON BLVD STE B180
WEST SACRAMENTO, CA 95605
Yolo County (916) 403-2900
MRS. KATHERINE MARY SOLTERO LCSW
Social Worker (Clinical)
500 JEFFERSON BLVD STE B180
WEST SACRAMENTO, CA 95605
Yolo County (916) 403-2900
JASON ROSE PA
Physician Assistant
500 JEFFERSON BLVD STE B180
WEST SACRAMENTO, CA 95605
Yolo County (916) 403-2900
MS. HAEJIN REBECCA KIM PA
Physician Assistant
500 JEFFERSON BLVD STE B180
WEST SACRAMENTO, CA 95605
Yolo County (916) 403-2900
KIMBERLY WARDEN NP
Nurse Practitioner (Family)
500 JEFFERSON BLVD STE B180
WEST SACRAMENTO, CA 95605
Yolo County (916) 403-2900

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 Daniel Trevizo's NPI number?

The NPI number for Daniel Trevizo is 1972007425. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Where is Daniel Trevizo located?

Daniel Trevizo practices at 500 Jefferson Blvd Ste B180, W Sacramento, CA 95605. The listed phone number is (916) 403-2900.

What is Daniel Trevizo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Daniel Trevizo enrolled in Medicare?

Yes. Daniel Trevizo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Daniel Trevizo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Trevizo reassigns Medicare benefits to Ole Health (West Sacramento, 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 Daniel Trevizo'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 Daniel Trevizo was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.