Individual provider Active NPI

Juan Trejo, O.D.

  • Optometrist
  • Salinas, CA
National Provider Identifier
1477505584
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11537 TPL Issued in CA
Practice address
1630 N Main St
Salinas, CA 93906-5102
Phone
(831) 443-4422
Fax
(831) 443-4516
NPI assigned
May 17, 2006
Last updated
Feb 27, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11537 TPL CA Primary

Addresses

Primary practice location

1630 N Main St
Salinas, CA 93906-5102

Mailing address

1006 W Wabash Ave
Eureka, CA 95501-2121
Phone (707) 444-2685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150722004292 CA Practitioner - Optometry 0941442065 Receives reassigned benefits from 1 practitioner
Practice locations: Monterey, CA; Salinas, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1630 N Main St
Salinas, CA 93906-5102
Phone (831) 443-4422

900 Cass St
Suite 102
Monterey, CA 93940-4544
Phone (831) 373-1116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11537 TPLCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Juan J Trejo, O.D. Optometrist CurrentSince Aug 21, 2015 Accepting new patients

Locations

1630 N Main St
Salinas, CA 93906
Phone (831) 443-4422

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1477505584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 W WABASH AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955012121",
            "telephone_number": "707-444-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 N MAIN ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939065102",
            "telephone_number": "831-443-4422",
            "fax_number": "831-443-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREJO",
        "first_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11537 TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.