Individual provider Active NPI

Francisco J Trejo, P.A.

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1508866005
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2802 Issued in AZ
Practice address
7418 N la Cholla Blvd
Tucson, AZ 85741-2306
Phone
(520) 731-1110
Fax
(520) 731-6582
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2802 AZ Primary

Addresses

Primary practice location

7418 N la Cholla Blvd
Tucson, AZ 85741-2306

Mailing address

8820 Gateway Blvd N
El Paso, TX 79904-1947
Phone (915) 759-7700

Other identifiers 2

IdentifierTypeStateIssuer
78642OtherMEDICARE PROVIDER ID
840141MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040420001488 AZ Practitioner - Physician Assistant 2264428986 Reassigns benefits to 1 organization
I20191210000255 TX Practitioner - Physician Assistant 2264428986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain View Dermatology,P.a.Group PAC ID 2668468398, 9 clinicians
Katherine a. Orlick, M.D., P.C.Group PAC ID 7113014523, 3 clinicians

Practice addresses (Care Compare)

1723 Weston Brent LN
El Paso, TX 79935-3013
Phone (915) 759-7700

7100 Westwind Dr
Suite 270
El Paso, TX 79912-1752
Phone (915) 759-7700

7418 N la Cholla Blvd
Tucson, AZ 85741-2306
Phone (520) 731-1110

8820 Gateway Blvd N
El Paso, TX 79904-1947
Phone (915) 759-7700

8820 Gateway N
El Paso, TX 79904-1947

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Olson Facial Plastic Surgery, P.C. PastSince Jan 1, 2003 Accepting new patients
Emergency Room Associates Limited Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ftrejo@mvd.emadirect.md

Organizations & group practices 4

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1508866005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 GATEWAY BLVD N",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799041947",
            "telephone_number": "915-759-7700",
            "fax_number": "915-759-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7418 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412306",
            "telephone_number": "520-731-1110",
            "fax_number": "520-731-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREJO",
        "first_name": "FRANCISCO",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ID",
            "identifier": "78642",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "840141",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.