Active NPI
Jorge Trejo, SA-C
- Surgical Assistant
- Katy, TX
National Provider Identifier
1255804944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 18-526
- Practice address
- 1002 Katy Gap Rd Apt 1422
Katy, TX 77494-7892 - Phone
- (409) 995-9169
- NPI assigned
- Jan 6, 2019
- 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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 18-526 | WI | Primary |
Addresses
Primary practice location
1002 Katy Gap Rd Apt 1422
Katy, TX 77494-7892
Mailing address
1002 Katy Gap Rd Apt 1422
Katy, TX 77494-7892
Phone (409) 995-9169
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18-526 | WI | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546732800000",
"number": "1255804944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 KATY GAP RD APT 1422",
"city": "KATY",
"state": "TX",
"postal_code": "774947892",
"telephone_number": "409-995-9169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 KATY GAP RD APT 1422",
"city": "KATY",
"state": "TX",
"postal_code": "774947892",
"telephone_number": "409-995-9169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREJO",
"first_name": "JORGE",
"credential": "SA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-06",
"last_updated": "2019-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "WI",
"license": "18-526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.