Individual provider Active NPI

Joshua A. Trujillo, MD

  • Family Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1184679284
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2010-00346 Issued in NC
Practice address
1307 Avon St
Fayetteville, NC 28304-4423
Phone
(910) 323-1718
Fax
(910) 323-3834
NPI assigned
May 24, 2006
Last updated
Jul 27, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2010-00346 NC Primary
Family Medicine Physician 207Q00000X A49567 CA

Addresses

Primary practice location

1307 Avon St
Fayetteville, NC 28304-4423

Mailing address

1307 Avon St
Fayetteville, NC 28304-4423
Phone (910) 323-1718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040609001158 CA Practitioner - Family Practice 2264415470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Boston University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Healthcare NetworkGroup PAC ID 6305756339, shared by 34 NPIs, 91 clinicians

Practice addresses (Care Compare)

1062 S K St
Tulare, CA 93274-6422
Phone (877) 960-3426

1107 W Poplar Ave
Porterville, CA 93257-5839
Phone (559) 781-7242

12586 Ave
Suite 408
Orosi, CA 93647
Phone (559) 585-2804

201 E Lakeview Ave
Woodlake, CA 93286-1301
Phone (559) 564-0100

2333 S Mooney Blvd
Visalia, CA 93277-6228
Phone (559) 737-4700

330 E Pine St
Exeter, CA 93221-1838
Phone (877) 960-3426

41651 Sierra Dr
A
Three Rivers, CA 93271-9678
Phone (559) 561-4683

4177 Ave
Suite 368
Traver, CA 93673
Phone (559) 737-4700

501 N Bride St
Visalia, CA 93291-5014
Phone (559) 734-1939

7060 N Recreation Ave
Suite 101
Fresno, CA 93720-8022
Phone (877) 960-3426

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A49567CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network CurrentSince Sep 9, 2016 Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network CurrentSince Sep 9, 2016 Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Past Accepting new patients
New Hanover Regional Medical Center Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients
Sierra View Local Health Care District Past Accepting new patients
Cumberland County Hospital System Inc Past Accepting new patients
Ashland Hospital Corporation Family Medicine Past Accepting new patients

Locations

33025 Road 159
Ivanhoe, CA 93235
Phone (559) 798-1877

12586 Avenue 408
Orosi, CA 93647
Phone (559) 528-2804

1107 W Poplar Ave
Porterville, CA 93257
Phone (559) 781-7242

41651 Sierra Dr
#A
Three Rivers, CA 93271
Phone (559) 561-4683

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

400 E Oak Ave
Visalia, CA 93291
Phone (559) 741-4500

501 N Bridge St
Visalia, CA 93291
Phone (559) 734-1939

201 E Lakeview Ave
Woodlake, CA 93286
Phone (559) 564-0100

Interoperability endpoints

  • Direct secure messaging: joshua.trujillo@fhcn.eclinicaldirectplus.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1184679284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 AVON ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044423",
            "telephone_number": "910-323-1718",
            "fax_number": "910-323-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 AVON ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044423",
            "telephone_number": "910-323-1718",
            "fax_number": "910-323-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "JOSHUA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2010-00346",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A49567",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.