Active NPI
Lorena Michelle Trejo
- Registered Nurse
- San Diego, CA
National Provider Identifier
1609767524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041.522123
- Practice address
- 5930 Cornerstone CT W
San Diego, CA 92121-3741 - Phone
- (866) 687-7390
- NPI assigned
- Jul 10, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704412808 | MI | |
| Registered Nurse | 163W00000X | 1112349-30 | WI | |
| Registered Nurse | 163W00000X | 967979 | NY | |
| Registered Nurse | 163W00000X | 95401275 | CA | |
| Registered Nurse | 163W00000X | 041.522123 | IL | Primary |
Addresses
Primary practice location
5930 Cornerstone CT W
San Diego, CA 92121-3741
Mailing address
5712 N New Hampshire Ave
Chicago, IL 60631-3135
Phone (708) 699-5257
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95401275 | CA | MD | Registered Nurse |
| 041.522123 | IL | MD | Registered Nurse |
| 4704412808 | MI | MD | Registered Nurse |
| 967979 | NY | MD | Registered Nurse |
| 1112349-30 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1609767524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5712 N NEW HAMPSHIRE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313135",
"telephone_number": "708-699-5257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5930 CORNERSTONE CT W",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213741",
"telephone_number": "866-687-7390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREJO",
"first_name": "LORENA",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-10",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704412808",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "1112349-30",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "967979",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95401275",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041.522123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.