MR. JASON DAVID TRUJILLO NP
NPI 1487396123
Nurse Practitioner - Family in Pasadena, CA
Active since April 12, 2022
About Mr. Jason David Trujillo Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JASON DAVID TRUJILLO NP (NPI 1487396123) is an individual family provider in Pasadena, California, licensed in California (95019715) and active in the NPI registry since April 2022.
NPPES Registry Identity
NPI1487396123
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JASON DAVID TRUJILLOCredential: NP
Location Address799 E GREEN STPasadena, CA 91101-2117
Mailing Address839 Alford StGlendora, CA 91740-4903 · (951) 283-2863
Phone(626) 803-4648
Sole ProprietorYes
Enumeration DateApril 12, 2022
NPPES CertifiedApril 12, 2022
✔ NPI 1487396123 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95019715
799 E GREEN ST, Pasadena, CA 91101
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487396123, enumerated as an "individual" on April 12, 2022.
The provider is located at 799 E GREEN ST PASADENA, CA 91101 and the phone number is (626) 803-4648.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
