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DR. ISRAEL JEDIDIAH TRUJILLO DDS
NPI 1801104385
Dentist - Periodontics in Merced, CA

Active since September 19, 2010Opted out of Medicare · through Dec 17, 2027
850 W OLIVE AVE, SUITE D, MERCED, CA 95348(209) 383-3816(209) 383-3817 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Israel Jedidiah Trujillo Dds NPPES

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

DR. ISRAEL JEDIDIAH TRUJILLO DDS (NPI 1801104385) is an individual periodontics provider in Merced, California, licensed in California (58761) and active in the NPI registry since September 2010. He has opted out of Medicare through December 17, 2027.

NPPES Registry Identity

NPI1801104385
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. ISRAEL JEDIDIAH TRUJILLOCredential: DDS
Location Address850 W OLIVE AVE, SUITE DMerced, CA 95348-2427
Mailing Address850 W Olive Ave, Suite DMerced, CA 95348-2427 · (209) 383-3816 · Fax (209) 383-3817
Phone(209) 383-3816
Fax(209) 383-3817
Sole ProprietorNo
Enumeration DateSeptember 19, 2010
Last NPPES UpdateAugust 14, 2025
✔ NPI 1801104385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 58761
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
850 W OLIVE AVE, Merced, CA 95348
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Israel Jedidiah Trujillo Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 17, 2021 through December 17, 2027.

Opt-Out Effective DateDecember 17, 2021
Opt-Out In Effect ThroughDecember 17, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

REZA VAFADOUSTE MD A MEDICAL CORPORATION
Internal Medicine (Cardiovascular Disease)
850 W OLIVE AVE, SUITE A
MERCED, CA 95348
Merced County (209) 725-1990

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 Israel Trujillo's NPI number?

The NPI number for Israel Trujillo is 1801104385. It was assigned to this individual provider in the NPPES registry on September 19, 2010.

Where is Israel Trujillo located?

Israel Trujillo practices at 850 W Olive Ave Suite D, Merced, CA 95348. The listed phone number is (209) 383-3816.

What is Israel Trujillo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Israel Trujillo enrolled in Medicare?

No. Israel Trujillo has opted out of Medicare through December 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Israel Trujillo was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.