Joshua David Trujillo, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA11675 Issued in TX

Practice address

1860 Dean Martin Dr Ste 104
El Paso, TX 79936-3950

Phone

(915) 855-7680

Fax

(915) 855-8640

NPI assigned

Dec 4, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Athi P Venkatesh MD PAGroup PAC ID 0749213403, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Athi P Venkatesh MD PA

  dba Kingwood Psychiatry

  • Psychiatry Physician
  • Kingwood, TX
  • NPI 1780703942
  Medicare reassignment Care Compare group
• Mt West Health Center PA

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1720098700
  NPD (past)
• Sunwest Sleep Center, PA

  • Psychologist
  • El Paso, TX
  • NPI 1518017706
  NPD (past)

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1497260160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6151 DEW DR STE 400",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123912",
            "telephone_number": "915-217-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 DEAN MARTIN DR STE 104",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799363950",
            "telephone_number": "915-855-7680",
            "fax_number": "915-855-8640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3551 Rich Beem Ste C",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799384373",
            "country_code": "US",
            "telephone_number": "915-298-3607",
            "fax_number": "915-298-3611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "JOSHUA",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA11675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trugenedx, LLC
• Ariana Trujillo
• Cristina Amanda Trujillo
• Eric Max Trujillo, DPT, CSCS
• Isaac Alexander Trujillo
• Marco Alejandro Trujillo
• Sasha Trujillo, DPT
• Tanya Marie Trujillo, PMHNP-BC
• Julia Y Truong, LPC
• Trust & Care Adult Foster Services

• Medical Physician Assistant in El Paso, TX
• Providers in El Paso, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.