Active NPI
Sergio Hernandez Trujillo, LVN
- Licensed Vocational Nurse
- Los Angeles, CA
National Provider Identifier
1558871947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 181600
- Practice address
- 12021 S Wilmington Ave
Building 18 Suite 101
Los Angeles, CA 90059 - Phone
- (424) 454-6001
- NPI assigned
- Oct 11, 2017
- Last updated
- Jun 27, 2025
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 181600 | CA | Primary |
Addresses
Primary practice location
12021 S Wilmington Ave
Building 18 Suite 101
Los Angeles, CA 90059
Mailing address
12021 S Wilmington Ave
Building 18 Suite 101
Los Angeles, CA 90059
Phone (424) 454-6001
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 |
|---|---|---|---|
| Behavioral Health Services Inc. | 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.
-
dba Redgate Memorial Recovery Center
- Substance Abuse Rehabilitation Facility
- Long Beach, CA
- NPI 1134259088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750982400000",
"number": "1558871947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12021 S WILMINGTON AVE",
"address_2": "BUILDING 18 SUITE 101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90059",
"telephone_number": "424-454-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12021 S WILMINGTON AVE",
"address_2": "BUILDING 18 SUITE 101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90059",
"telephone_number": "424-454-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUJILLO",
"first_name": "SERGIO",
"middle_name": "HERNANDEZ",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-11",
"last_updated": "2025-06-27",
"certification_date": "2025-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "181600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.