Individual provider Active NPI

Jorge Luis Trujillo

  • Psychiatric/Mental Health Nurse Practitioner
  • Lynwood, CA
National Provider Identifier
1801978374
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
18983 Issued in CA
Practice address
2640 Industry Way
Lynwood, CA 90262-4284
Phone
(310) 631-8004
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 18983 CA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 597263 CA

Addresses

Primary practice location

2640 Industry Way
Lynwood, CA 90262-4284

Mailing address

1920 Marengo St
Los Angeles, CA 90033-1317
Phone (323) 276-6400

Other practice location 1

3127 N Millbrook Ave
Fresno, CA 93703-1425
Phone (559) 453-1008

Other practice location 2

3147 N Millbrook Ave
Fresno, CA 93703-1425
Phone (559) 453-1008

Other practice location 3

3133B N Millbrook Ave
Fresno, CA 93703-1425
Phone (559) 453-1008

Other practice location 4

4411 E Cesar Chavez Blvd
Fresno, CA 93702-3604
Phone (559) 453-1008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101209000795 CA Practitioner - Nurse Practitioner 2264629757 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
597263CAMDPsychiatric/Mental Health Registered Nurse
18983CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Psychiatric Medical Group, Inc. CurrentSince Jan 17, 2024 Accepting new patients
Enki Health Services, Inc. CurrentSince Jun 6, 2014 Accepting new patients
Enki Health Services, Inc. CurrentSince Jun 6, 2014 Accepting new patients
Inland Psychiatric Medical Group, Inc. Psychiatric/Mental Health CurrentSince Jan 17, 2024 Accepting new patients
Enki Health Services, Inc. Current Accepting new patients
Inland Psychiatric Medical Group, Inc. Psychiatric/Mental Health Current Accepting new patients
Exodus Recovery, Inc. Past Accepting new patients
Symed-Cal Medical Group Past Accepting new patients

Locations

6001 Clara St
Bell Gardens, CA 90201
Phone (562) 806-5000

150 E Olive Ave
Ste 203
Burbank, CA 91502
Phone (818) 973-4899

1436 Goodrich Blvd
Commerce, CA 90022
Phone (323) 725-1337

10800 Paramount Blvd
Ste 306
Downey, CA 90241
Phone (562) 480-1638

3208 Rosemead Blvd
Ste 100
El Monte, CA 91731
Phone (626) 227-7001

160 S 7th Ave
La Puente, CA 91746
Phone (626) 961-8971

24012 Calle de la Plata
Ste 450
Laguna Hills, CA 92653
Phone (949) 768-6845

24432 Muirlands Blvd
Ste 131
Lake Forest, CA 92630
Phone (714) 520-3000

1656 W Avenue J
Lancaster, CA 93534
Phone (661) 942-1169

23110 Atlantic Cir
Ste F
Moreno Valley, CA 92553
Phone (951) 243-6455

1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320

3625 Del Amo Blvd
Ste 120
Torrance, CA 90503
Phone (310) 802-7352

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1801978374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 MARENGO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331317",
            "telephone_number": "323-276-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 INDUSTRY WAY",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902624284",
            "telephone_number": "310-631-8004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3127 N Millbrook Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937031425",
            "country_code": "US",
            "telephone_number": "559-453-1008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3147 N Millbrook Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937031425",
            "country_code": "US",
            "telephone_number": "559-453-1008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3133B N Millbrook Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937031425",
            "country_code": "US",
            "telephone_number": "559-453-1008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4411 E Cesar Chavez Blvd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937023604",
            "country_code": "US",
            "telephone_number": "559-453-1008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "18983",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "597263",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

Verify at the official NPI Registry.