Active NPI
Efren Trujillo
- Community Health Worker
- Monterey, CA
National Provider Identifier
1144052499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 320 Hawthorne St
Monterey, CA 93940-1808 - Phone
- (831) 643-9069
- NPI assigned
- Aug 15, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
320 Hawthorne St
Monterey, CA 93940-1808
Mailing address
1009 Vista de Soledad
Soledad, CA 93960-3466
Phone (831) 296-6290
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44CF | Medicaid | CA | |
| 27BW8 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1144052499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 VISTA DE SOLEDAD",
"city": "SOLEDAD",
"state": "CA",
"postal_code": "939603466",
"telephone_number": "831-296-6290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 HAWTHORNE ST",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939401808",
"telephone_number": "831-643-9069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUJILLO",
"first_name": "EFREN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-15",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "44CF",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "27BW8",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.