Octavio Trejo, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

K6787 Issued in TX

Practice address

7760 Alabama St
El Paso, TX 79904-3136

Phone

(915) 755-8478

Fax

(915) 755-7331

NPI assigned

Mar 29, 2006

Last updated

Mar 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• GYN Path Services, Inc.

  • Clinical Medical Laboratory
  • El Paso, TX
  • NPI 1588656748
  NPD

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1629039623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7760 ALABAMA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799043136",
            "telephone_number": "915-755-8478",
            "fax_number": "915-755-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 ALABAMA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799043136",
            "telephone_number": "915-755-8478",
            "fax_number": "915-755-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREJO",
        "first_name": "OCTAVIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "TX",
            "license": "K6787",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "K6787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167289101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06879225",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIDC",
            "identifier": "167289102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Treble Clef Technologies LLC (Healthcare Funding Solutions)
• Alicia Trejo
• Alyssa Lynn Trejo, PHARMD
• David E Trejo, PA
• Edward William Trejo Jr.
• Larry Jay Tremper, DO
• Trent a. Casskey, DC, PC
• Araceli Trevino
• Bricia Elena Trevino, FNP
• Marina Naranjo Trevino, M.D.

• Anatomic Pathology & Clinical Pathology Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.