Individual provider Active NPI

Juan Trujillo Cuevas Jr., SUDRC I 25243

  • Addiction (Substance Use Disorder) Counselor
  • Los Angeles, CA
National Provider Identifier
1164368114
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
25243 Issued in CA
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

Updated by the provider on Apr 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.