Individual provider Active NPI

Ricardo Antonio Trujillo Jr., OTR/L

  • Occupational Therapist
  • Union City, CA
National Provider Identifier
1366002719
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
23856 Issued in CA
Practice address
29516 Kohoutek Way
Union City, CA 94587-1221
Phone
(510) 441-8240
NPI assigned
Jun 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X CA
Student in an Organized Health Care Education/Training Program 390200000X CA
Occupational Therapist 225X00000X 23856 CA Primary
Counselor 101Y00000X
Behavior Technician 106S00000X

Addresses

Primary practice location

29516 Kohoutek Way
Union City, CA 94587-1221

Mailing address

29516 Kohoutek Way
Union City, CA 94587-1221
Phone (510) 441-8240

Other practice location 1

98 Bosworth St
San Francisco, CA 94112-1002
Phone (415) 552-0975

Other practice location 2

3650 Mt Diablo Blvd Ste 107
Lafayette, CA 94549-3780
Phone (510) 665-9700

Other practice location 3

425 Divisadero St Ste 300
San Francisco, CA 94117-2242
Phone (415) 552-0975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5820 Owens Dr
Pleasanton, CA 94588-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ascend Pediatrics Inc. PastSince Jul 21, 2024 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1366002719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29516 KOHOUTEK WAY",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945871221",
            "telephone_number": "510-441-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29516 KOHOUTEK WAY",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945871221",
            "telephone_number": "510-441-8240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98 Bosworth St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941121002",
            "country_code": "US",
            "telephone_number": "415-552-0975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3650 Mt Diablo Blvd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CA",
            "postal_code": "945493780",
            "country_code": "US",
            "telephone_number": "510-665-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 Divisadero St Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941172242",
            "country_code": "US",
            "telephone_number": "415-552-0975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "RICARDO",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "23856",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.