MEDICARE: TRIPTI-V, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1265320782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRIPTI-V, LLC

Provider Business Mailing Address
First Line	:	23 CORPORATE PLAZA DR STE 150-88
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-7911
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	23 CORPORATE PLAZA DR STE 150-88
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-7911
Country	:	US
Telephone Number	:	805-699-6670
Fax Number	:

Authorized Official
Title or Position	:	DO
Name	:	SARAH NASIR
Credential	:	DO
Telephone Number	:	805-619-2995

Provider Enumeration Date	:	06/24/2025
Last Update Date	:	06/30/2025

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Directions to “TRIPTI-V, LLC ” Practice Location

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