Active NPI
Andres Hector Trujillo, D.D.S
- Dentist
- Pomona, CA
National Provider Identifier
1548195449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 113032
- Practice address
- 2005 W Holt Ave
Pomona, CA 91768-3308 - Phone
- (909) 623-9590
- NPI assigned
- Jun 15, 2026
- Last updated
- Jun 15, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 113032 | CA | Primary |
Addresses
Primary practice location
2005 W Holt Ave
Pomona, CA 91768-3308
Mailing address
1575 S Reservoir St Apt a
Pomona, CA 91766-5473
Phone (909) 668-9509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jamal Dental Corporation | Dentist | Past | 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, 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": "1781481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1548195449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 S RESERVOIR ST APT A",
"city": "POMONA",
"state": "CA",
"postal_code": "917665473",
"telephone_number": "909-668-9509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 W HOLT AVE",
"city": "POMONA",
"state": "CA",
"postal_code": "917683308",
"telephone_number": "909-623-9590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUJILLO",
"first_name": "ANDRES",
"middle_name": "HECTOR",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-15",
"last_updated": "2026-06-15",
"certification_date": "2026-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "113032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.