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PRUDENCIO TREVINO III SUDRC
NPI 1659066827
Counselor - Addiction (Substance Use Disorder) in El Cajon, CA

Active since April 05, 2023
550 FESLER ST STE G-1, EL CAJON, CA 92020(619) 588-5361(619) 588-5421 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Prudencio Trevino Iii Sudrc NPPES

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

PRUDENCIO TREVINO III SUDRC (NPI 1659066827) is an individual addiction (substance use disorder) provider in El Cajon, California and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1659066827
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NamePRUDENCIO TREVINO IIICredential: SUDRC
Location Address550 FESLER ST STE G-1El Cajon, CA 92020-1959
Mailing Address550 Fesler St Ste G-1El Cajon, CA 92020-1959 · (619) 588-5361 · Fax (619) 588-5421
Phone(619) 588-5361
Fax(619) 588-5421
Sole ProprietorYes
Enumeration DateApril 5, 2023
NPPES CertifiedApril 5, 2023
✔ NPI 1659066827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
550 FESLER ST STE G-1, El Cajon, CA 92020
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

ANGELA JEAN DAMON
Counselor (Addiction (Substance Use Disorder))
550 FESLER ST STE G-1
EL CAJON, CA 92020
San Diego County (619) 588-5361
QUINN MARIE FRANKS
Counselor (Addiction (Substance Use Disorder))
550 FESLER ST STE G-1
EL CAJON, CA 92020
San Diego County (619) 588-5361
SHANTAL CARO
Counselor (Addiction (Substance Use Disorder))
550 FESLER ST STE G-1
EL CAJON, CA 92020
San Diego County (619) 588-5361
MRS. KIMBERLIE SUZANNE WILKERSON
Counselor (Addiction (Substance Use Disorder))
550 FESLER ST STE G-1
EL CAJON, CA 92020
San Diego County (619) 588-5361
MR. RUDY JESSE ATILANO
Counselor (Addiction (Substance Use Disorder))
550 FESLER ST STE G-1
EL CAJON, CA 92020
San Diego County (619) 588-5361
MR. RAMON ROJAS CEJA JR.
Counselor (Addiction (Substance Use Disorder))
550 FESLER ST STE G-1
EL CAJON, CA 92020
San Diego County (619) 588-5361
DANICA MARIE MCELWEE
Counselor (Addiction (Substance Use Disorder))
550 FESLER ST STE G-1
EL CAJON, CA 92020
San Diego County (619) 588-5361
VIKTOR HERNANDEZ-MORA
Social Worker (Clinical)
550 FESLER ST STE G-1
EL CAJON, CA 92020
San Diego County (619) 588-5361

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 Prudencio Trevino's NPI number?

The NPI number for Prudencio Trevino is 1659066827. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Where is Prudencio Trevino located?

Prudencio Trevino practices at 550 Fesler St Ste G-1, El Cajon, CA 92020. The listed phone number is (619) 588-5361.

What is Prudencio Trevino's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Prudencio Trevino was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.