Individual provider Active NPI

Trevor Fujinaka, D.D.S., M.S.D.

  • Dentist
  • Oakland, CA
National Provider Identifier
1669921870
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DL13064 Issued in MA
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

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DL13064MAMDDentist

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.

Verify at the official NPI Registry.