Active NPI
Trevor Fujinaka, D.D.S., M.S.D.
- Dentist
- Oakland, CA
National Provider Identifier
1669921870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DL13064
- Practice address
- 170 Santa Clara Ave Ste 201
Oakland, CA 94610-1496 - Phone
- (510) 547-6611
- Fax
- (510) 547-6641
- NPI assigned
- Sep 28, 2016
- 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 | DL13064 | MA | Primary |
Addresses
Primary practice location
170 Santa Clara Ave Ste 201
Oakland, CA 94610-1496
Mailing address
170 Santa Clara Ave Ste 201
Oakland, CA 94610-1496
Phone (510) 547-6611
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 |
|---|---|---|---|
| DL13064 | MA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1669921870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 SANTA CLARA AVE STE 201",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946101496",
"telephone_number": "510-547-6611",
"fax_number": "510-547-6641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 SANTA CLARA AVE STE 201",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946101496",
"telephone_number": "510-547-6611",
"fax_number": "510-547-6641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUJINAKA",
"first_name": "TREVOR",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-28",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DL13064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.