DALE MICHAEL TRUJILLO NP
NPI 1003104423
Nurse Practitioner in San Diego, CA

Q: What is Dale Trujillo's NPI number?

The NPI number for Dale Trujillo is 1003104423. It was assigned to this individual provider in the NPPES registry on July 19, 2011. The provider is also known as Dale Michael Bucek Trujillo.

Q: What is Dale Trujillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Dale Trujillo was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 19, 2011PECOS Enrolled

200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2021, Nov 2, 2018 (2 updates tracked since 2018).

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About Dale Michael Trujillo Np NPPES

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

DALE MICHAEL TRUJILLO NP (NPI 1003104423) is an individual nurse practitioner in San Diego, California, licensed in California (NP95009664) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003104423

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameDALE MICHAEL TRUJILLOCredential: NP

Location Address200 W ARBOR DRSan Diego, CA 92103-9000

Mailing AddressPo Box 232410San Diego, CA 92193-2410

Phone(800) 926-8273

Sole ProprietorYes

Enumeration DateJuly 19, 2011

Last NPPES UpdateMarch 18, 20212 updates tracked since enumeration

NPPES CertifiedMarch 18, 2021

✔ NPI 1003104423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · NP95009664

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedPhysical TherapistTaxonomy 225100000X · License 18136 (CA)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95009664 (CA)

200 W ARBOR DR, San Diego, CA 92103

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Other Names 1

Former Name (1)Dale Michael Bucek Trujillo

Secondary Practice Locations 2

Location 12555 Camino Del Rio S, 102San Diego, CA 92108-3704 · Phone (619) 564-7120

Location 24626 60th StSan Diego, CA 92115-3824 · Phone (619) 972-5223

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dale Michael Trujillo Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

DR. RAMIN MOTARJEMI M.D.

Internal Medicine (Geriatric Medicine)