Active NPI
Hector Trujillo, ND, LAC
- Acupuncturist
- Carson, CA
National Provider Identifier
1730738568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 19072
- Practice address
- 22113 Moneta Ave
Carson, CA 90745-2816 - Phone
- (714) 336-0601
- NPI assigned
- Sep 4, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 19072 | CA | Primary |
Addresses
Primary practice location
22113 Moneta Ave
Carson, CA 90745-2816
Mailing address
22113 Moneta Ave
Carson, CA 90745-2816
Phone (714) 336-0601
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 |
|---|---|---|---|
| 19072 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1730738568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22113 MONETA AVE",
"city": "CARSON",
"state": "CA",
"postal_code": "907452816",
"telephone_number": "714-336-0601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22113 MONETA AVE",
"city": "CARSON",
"state": "CA",
"postal_code": "907452816",
"telephone_number": "714-336-0601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUJILLO",
"first_name": "HECTOR",
"credential": "ND, LAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-04",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "19072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.