Natalie T Trujillo, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

7466 Issued in AZ

Practice address

301 E Cottonwood LN Ste 1&2
Casa Grande, AZ 85122

Phone

(602) 569-3999

Fax

(602) 569-3887

NPI assigned

Dec 16, 2018

Last updated

Dec 6, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: natalie.trujillo.p1@direct.primemedicalgroup.nextgenshare.com

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.

• Prime Medical Group, LLC

  • Family Medicine Physician
  • Gilbert, AZ
  • NPI 1336679414
  Medicare reassignment
• Desert Kidney Associates PLC

  • Nephrology Physician
  • Mesa, AZ
  • NPI 1144372905
  NPD (past)
• Starmed Urgent & Family Care, P.a.

  • Physician Assistant
  • Charlotte, NC
  • NPI 1790282853
  NPD (past)

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1205307436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 E WILLETTA ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062935",
            "telephone_number": "602-569-3999",
            "fax_number": "602-569-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E COTTONWOOD LN STE 1&2",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "85122",
            "telephone_number": "602-569-3999",
            "fax_number": "602-569-3887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1315 W Southern Ave",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852824519",
            "country_code": "US",
            "telephone_number": "602-569-3999",
            "fax_number": "602-569-3887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7734 N 59th Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853017816",
            "country_code": "US",
            "telephone_number": "602-569-3999",
            "fax_number": "602-569-3887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13402 N 32nd St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850326047",
            "country_code": "US",
            "telephone_number": "602-569-3999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "616 E Southern Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852044941",
            "country_code": "US",
            "telephone_number": "602-569-3999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15235 N Dysart Rd",
            "address_purpose": "LOCATION",
            "city": "El Mirage",
            "state": "AZ",
            "postal_code": "853359738",
            "country_code": "US",
            "telephone_number": "602-569-3999",
            "fax_number": "602-569-3887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "NATALIE",
        "middle_name": "T",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John R Tretter, M.D.
• Tri-Valley Cancer Research & Treatment Center, Inc.
• Tri-Valley Clinical Laboratory Inc
• Tried & Tru Psychological Wellbeing PLLC
• Tyler Trigg, O.D
• Ann Kelly Truong, PHARMD
• Trusted Hands Residential Care LLC
• John Tucher, M.D.
• Tucson Vamc
• Tucson Vamc

• Physician Assistant in Casa Grande, AZ
• Providers in Casa Grande, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.