German a Trujillo DDS Dental Corporation

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

57008 Issued in CA

Legal business name

GERMAN A TRUJILLO DDS DENTAL CORPORATION

Doing business as

Pearlmax Oral Surgery

Practice address

4520 Executive Dr Ste 220
San Diego, CA 92121-3020

Phone

(858) 434-7554

Fax

(858) 597-1005

NPI assigned

Dec 7, 2009

Organization subpart

No

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

Authorized official

Name

German TrujilloNPI 1144392374

Title

Owner

Phone

(619) 204-7722

Specialties & licenses 1

Addresses

Other names 1

• Pearlmax Oral Surgery Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• German Trujillo, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • San Diego, CA
  • NPI 1144392374
  NPD Authorized official

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1407185234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 EXECUTIVE DR STE 220",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213020",
            "telephone_number": "858-434-7554",
            "fax_number": "858-597-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 EXECUTIVE DR STE 220",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213020",
            "telephone_number": "858-434-7554",
            "fax_number": "858-597-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMAN A TRUJILLO DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "GERMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-204-7722"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "57008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearlmax Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaretta Emily Gergen, DO
• Ann Elizabeth Gerhart, FNP
• Kevin David Gerhart, MD/PHD
• Morgan Gerhart, RN
• Matthew Geriak, PHARM.D.
• Connie German-Marquez, MFT
• Kevin Scott Berry German, SFIDC
• Liliana German
• Albert Germani, LCSW
• Alyssa Germanos, OTR/L

• Oral and Maxillofacial Surgery (Dentist) in San Diego, CA
• Providers in San Diego, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.