Individual provider Active NPI

Trilla Rodesillas Cajulis, DDS

  • Dentist
  • Chula Vista, CA
National Provider Identifier
1750484366
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
45358 Issued in CA
Practice address
890 East Lake Parkway
Ste 206
Chula Vista, CA 91914
Phone
(619) 946-7477
Fax
(619) 397-0314
NPI assigned
Sep 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 45358 CA Primary

Addresses

Primary practice location

890 East Lake Parkway
Ste 206
Chula Vista, CA 91914

Mailing address

2488 Crooked Trail Road
Chula Vista, CA 91914
Phone (619) 271-2570

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
45358CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750484366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 CROOKED TRAIL ROAD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91914",
            "telephone_number": "619-271-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 EAST LAKE PARKWAY",
            "address_2": "STE 206",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91914",
            "telephone_number": "619-946-7477",
            "fax_number": "619-397-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAJULIS",
        "first_name": "TRILLA",
        "middle_name": "RODESILLAS",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.