Active NPI
Juan Trujillo Cuevas Jr., SUDRC I 25243
- Addiction (Substance Use Disorder) Counselor
- Los Angeles, CA
National Provider Identifier
1164368114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 25243
- Practice address
- 2521 Long Beach Ave
Los Angeles, CA 90058-1324 - Phone
- (213) 529-0963
- NPI assigned
- Apr 23, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 25243 | CA | Primary |
Addresses
Primary practice location
2521 Long Beach Ave
Los Angeles, CA 90058-1324
Mailing address
242 W 14TH St
San Pedro, CA 90731-4315
Phone (424) 339-7018
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": "1776902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1164368114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 W 14TH ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907314315",
"telephone_number": "424-339-7018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2521 LONG BEACH AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900581324",
"telephone_number": "213-529-0963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUJILLO CUEVAS",
"first_name": "JUAN",
"name_suffix": "Jr.",
"credential": "SUDRC I 25243",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-04-23",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "25243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.