MS. BREANNA DOMONIQUE TREJO I SUDRC
NPI 1154207991
Rehabilitation Practitioner in San Diego, CA

Active since August 15, 2025
5473 KEARNY VILLA RD, SAN DIEGO, CA 92123(855) 325-8428 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 10, 2025, Aug 15, 2025 (2 updates tracked since 2025).

About Ms. Breanna Domonique Trejo I Sudrc NPPES

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

MS. BREANNA DOMONIQUE TREJO I SUDRC (NPI 1154207991) is an individual rehabilitation practitioner in San Diego, California and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1154207991
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameMS. BREANNA DOMONIQUE TREJO ICredential: SUDRC
Location Address5473 KEARNY VILLA RDSan Diego, CA 92123-1150
Mailing Address5473 Kearny Villa RdSan Diego, CA 92123-1150 · (855) 325-8428
Sole ProprietorNo
Enumeration DateAugust 15, 2025
Last NPPES UpdateNovember 10, 20252 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
NPI 1154207991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 18152 (CA)
5473 KEARNY VILLA RD, San Diego, CA 92123

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
5473 KEARNY VILLA RD
SAN DIEGO, CA 92123
Student in an Organized Health Care Education/Training Program
5473 KEARNY VILLA RD
SAN DIEGO, CA 92123
Peer Specialist
5473 KEARNY VILLA RD
SAN DIEGO, CA 92123
Rehabilitation Practitioner
5473 KEARNY VILLA RD
SAN DIEGO, CA 92123

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 Breanna Trejo's NPI number?

The NPI number for Breanna Trejo is 1154207991. It was assigned to this individual provider in the NPPES registry on August 15, 2025.

Where is Breanna Trejo located?

Breanna Trejo practices at 5473 Kearny Villa Rd, San Diego, CA 92123. The listed phone number is (855) 325-8428.

What is Breanna Trejo's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Breanna Trejo was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.