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TRACY THOMAS TRUJILLO MD
NPI 1508856725
Pediatrics in San Ramon, CA

Active since October 27, 2005PECOS Enrolled
200 PORTER DRIVE, SUITE 300, SAN RAMON, CA 94583(925) 838-6500(925) 838-6542 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Tracy Thomas Trujillo Md NPPES

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

TRACY THOMAS TRUJILLO MD (NPI 1508856725) is an individual pediatrics provider in San Ramon, California, licensed in California (G72064) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508856725
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameTRACY THOMAS TRUJILLOCredential: MD
Location Address200 PORTER DRIVE, SUITE 300San Ramon, CA 94583-1524
Mailing Address200 Porter Drive, Suite 300San Ramon, CA 94583-1524 · (925) 838-6511 · Fax (925) 838-6544
Phone(925) 838-6500
Fax(925) 838-6542
Sole ProprietorNo
Enumeration DateOctober 27, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1508856725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · G72064
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
200 PORTER DRIVE, San Ramon, CA 94583
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracy Thomas Trujillo Md 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 94583 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 10

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

DR. KUSHAL CHHABRA MD
Internal Medicine
200 PORTER DRIVE, SUITE 300
SAN RAMON, CA 94583
Contra Costa County (925) 838-6511
DR. PRAISE TSAN EN SHANG M.D.
Family Medicine
200 PORTER DRIVE, SUITE 300
SAN RAMON, CA 94583
Contra Costa County (925) 838-6511
PLANNED PARENTHOOD SHASTA DIABLO, INC
Clinic/Center (Community Health)
200 PORTER DRIVE
SAN RAMON, CA 94583
Contra Costa County (925) 838-2108
MARY JUDE GABRIELSON CFNP
Nurse Practitioner (Pediatrics)
200 PORTER DRIVE, SUITE 300
SAN RAMON, CA 94583
Contra Costa County (925) 838-6500
JANICE M LEE MD
Internal Medicine
200 PORTER DRIVE, SUITE 300
SAN RAMON, CA 94583
Contra Costa County (925) 838-6533
TRACY LEE TROTTER MD
Pediatrics
200 PORTER DRIVE, SUITE 300
SAN RAMON, CA 94583
Contra Costa County (925) 838-6500
WEBSTER OUTPATIENT SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
200 PORTER DRIVE, SUITE 100
SAN RAMON, CA 94583
Contra Costa County (925) 600-1900
DR. THOMAS FRANCIS LONG MD
Pediatrics
200 PORTER DRIVE, SUITE 300
SAN RAMON, CA 94583
Contra Costa County (925) 838-6500

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 Tracy Trujillo's NPI number?

The NPI number for Tracy Trujillo is 1508856725. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Where is Tracy Trujillo located?

Tracy Trujillo practices at 200 Porter Drive Suite 300, San Ramon, CA 94583. The listed phone number is (925) 838-6500.

What is Tracy Trujillo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tracy Trujillo enrolled in Medicare?

Yes. Tracy Trujillo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tracy Trujillo was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.