Juan Daniel Trujillo Lopez, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

111873 Issued in CA

Practice address

8008 Walerga Rd Ste 100
Antelope, CA 95843-9003

Phone

(916) 725-4530

NPI assigned

Jul 28, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Timothy Bennett Dental Corporation

  dba Walerga Dental Group

  • General Practice Dentistry
  • Antelope, CA
  • NPI 1750471140
  NPD (past)

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1578446555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740 WATT AVE APT 115",
            "city": "ANTELOPE",
            "state": "CA",
            "postal_code": "958432265",
            "telephone_number": "775-550-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 WALERGA RD STE 100",
            "city": "ANTELOPE",
            "state": "CA",
            "postal_code": "958439003",
            "telephone_number": "916-725-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO LOPEZ",
        "first_name": "JUAN",
        "middle_name": "DANIEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "111873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Grace Toft, M.S., CCC-SLP
• Bang Sy Tran
• Teresa Tran
• Victoria Thaovi Tran, DDS
• Transilvania Consulting 700 LLC (Family Life Senior Care)
• Vonny Tutupoly
• Unity Memory Care Inc. (Unity Memory Home Care)
• Emma Lynn Webb Van Der Mik, RDN
• Patricia Ann Vargas, BT
• Liliya Vasilevich

• General Practice Dentistry in Antelope, CA
• Providers in Antelope, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.

Verify at the official NPI Registry.