Individual provider Active NPI

Ashley B Trujillo, MPT

  • Orthopedic Physical Therapist
  • Thousand Oaks, CA
National Provider Identifier
1336460633
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
36228 Issued in CA
Practice address
101 Hodencamp Rd
Suite 102
Thousand Oaks, CA 91360-5836
Phone
(805) 496-9944
Fax
(805) 496-9945
NPI assigned
Jun 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 36228 CA Primary

Addresses

Primary practice location

101 Hodencamp Rd
Suite 102
Thousand Oaks, CA 91360-5836

Mailing address

101 Hodencamp Rd
Suite 102
Thousand Oaks, CA 91360-5836
Phone (805) 496-9944

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

State licenses

LicenseStateTypeSpecialty
36228CAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1336460633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HODENCAMP RD",
            "address_2": "SUITE 102",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605836",
            "telephone_number": "805-496-9944",
            "fax_number": "805-496-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HODENCAMP RD",
            "address_2": "SUITE 102",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605836",
            "telephone_number": "805-496-9944",
            "fax_number": "805-496-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "ASHLEY",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-21",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "36228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.