KENNY JUNIOR RODRIGUEZ TRUJILLO
NPI 1003406810
Peer Specialist in Greenbrae, CA

Q: What is Kenny Rodriguez Trujillo's NPI number?

The NPI number for Kenny Rodriguez Trujillo is 1003406810. It was assigned to this individual provider in the NPPES registry on January 25, 2021.

Q: What is Kenny Rodriguez Trujillo's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Active since January 25, 2021

250 BON AIR ROAD, UNIT B - 1ST FLOOR (ACCESS TEAM), GREENBRAE, CA 94904(888) 818-1115 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2024, Jul 20, 2021, Jan 25, 2021 (3 updates tracked since 2021).

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About Kenny Junior Rodriguez Trujillo NPPES

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

KENNY JUNIOR RODRIGUEZ TRUJILLO (NPI 1003406810) is an individual peer specialist in Greenbrae, California, licensed in California (MPSS-IJQGWM) and active in the NPI registry since January 2021. He maintains a secondary practice location in Santa Rosa.

NPPES Registry Identity

NPI1003406810

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameKENNY JUNIOR RODRIGUEZ TRUJILLO

Location Address250 BON AIR ROAD, UNIT B - 1ST FLOOR (ACCESS TEAM)Greenbrae, CA 94904

Mailing Address250 Bon Air Road, Unit B - 1st Floor (access Team)Greenbrae, CA 94904 · (888) 818-1115

Phone(888) 818-1115

Sole ProprietorNo

Enumeration DateJanuary 25, 2021

Last NPPES UpdateApril 8, 20243 updates tracked since enumeration

NPPES CertifiedApril 8, 2024

✔ NPI 1003406810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in CA · MPSS-IJQGWM

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Also ListedBehavior TechnicianTaxonomy 106S00000X · License MPSS-IJQGWM (CA)

Also ListedRehabilitation PractitionerTaxonomy 225400000X · License MPSS-IJQGWM (CA)

250 BON AIR ROAD, UNIT B - 1ST FLOOR (ACCESS TEAM), Greenbrae, CA 94904

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Secondary Practice Location 1

Location 11335 N Dutton AveSanta Rosa, CA 95401-4609 · Phone (855) 223-7123

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 Kenny Rodriguez Trujillo's NPI number?

The NPI number for Kenny Rodriguez Trujillo is 1003406810. It was assigned to this individual provider in the NPPES registry on January 25, 2021.

Where is Kenny Rodriguez Trujillo located?

Kenny Rodriguez Trujillo practices at 250 Bon Air Road, Unit B - 1st Floor (access Team), Greenbrae, CA 94904. The listed phone number is (888) 818-1115.

What is Kenny Rodriguez Trujillo's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kenny Rodriguez Trujillo was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.