SIMON PEDRO TRUJILLO IDC
NPI 1639793607
Military Health Care Provider - Independent Duty Corpsman in San Clemente, CA

Q: What is Simon Trujillo's NPI number?

The NPI number for Simon Trujillo is 1639793607. It was assigned to this individual provider in the NPPES registry on June 4, 2020.

Q: What is Simon Trujillo's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Simon Trujillo was last updated on June 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 June 04, 2020

85 SANDPIPER AVE, SAN CLEMENTE, CA 92672(469) 734-1658 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Simon Pedro Trujillo Idc NPPES

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

SIMON PEDRO TRUJILLO IDC (NPI 1639793607) is an individual independent duty corpsman provider in San Clemente, California and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1639793607

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameSIMON PEDRO TRUJILLOCredential: IDC

Location Address85 SANDPIPER AVESan Clemente, CA 92672-2616

Mailing Address85 Sandpiper AveSan Clemente, CA 92672-2616 · (469) 734-1658

Phone(469) 734-1658

Sole ProprietorNo

Enumeration DateJune 4, 2020

NPPES CertifiedJune 4, 2020

✔ NPI 1639793607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

85 SANDPIPER AVE, San Clemente, CA 92672

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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 Simon Trujillo's NPI number?

The NPI number for Simon Trujillo is 1639793607. It was assigned to this individual provider in the NPPES registry on June 4, 2020.

Where is Simon Trujillo located?

Simon Trujillo practices at 85 Sandpiper Ave, San Clemente, CA 92672. The listed phone number is (469) 734-1658.

What is Simon Trujillo's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Simon Trujillo was last updated on June 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.