Active NPI
Joel Trujillo, M.D.
- Family Medicine Physician
- Wichita Falls, TX
National Provider Identifier
1285612432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J7701
- Practice address
- 2837 Judson Cir
Wichita Falls, TX 76308-1068 - Phone
- (940) 642-8333
- NPI assigned
- Jan 6, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J7701 | TX | Primary |
Addresses
Primary practice location
2837 Judson Cir
Wichita Falls, TX 76308-1068
Mailing address
2837 Judson Cir
Wichita Falls, TX 76308-1068
Phone (940) 642-8333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1020349-02 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439510400000",
"number": "1285612432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2837 JUDSON CIR",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763081068",
"telephone_number": "940-642-8333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2837 JUDSON CIR",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763081068",
"telephone_number": "940-642-8333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUJILLO",
"first_name": "JOEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2015-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "J7701",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1020349-02",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.