Healthcare Provider Details

I. General information

NPI: 1265320782
Provider Name (Legal Business Name): TRIPTI-V, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2025
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 CORPORATE PLAZA DR STE 150-88
NEWPORT BEACH CA
92660-7911
US

IV. Provider business mailing address

23 CORPORATE PLAZA DR STE 150-88
NEWPORT BEACH CA
92660-7911
US

V. Phone/Fax

Practice location:
  • Phone: 805-699-6670
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: SARAH NASIR
Title or Position: DO
Credential: DO
Phone: 805-619-2995