Charlie Trejo, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

51360 Issued in CA

Practice address

22961 Soledad Canyon Rd
Santa Clarita, CA 91350-2633

Phone

(661) 200-3677

Fax

(661) 388-4496

NPI assigned

Aug 24, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dave and Dave Rehab Sciences, LP

  • Orthopedic Physical Therapist
  • Santa Clarita, CA
  • NPI 1710384904
  NPD (past)

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1841967239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 SUNBURST DR",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935525208",
            "telephone_number": "661-526-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22961 SOLEDAD CANYON RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502633",
            "telephone_number": "661-200-3677",
            "fax_number": "661-388-4496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33311 Santiago Rd",
            "address_purpose": "LOCATION",
            "city": "Acton",
            "state": "CA",
            "postal_code": "935101416",
            "country_code": "US",
            "telephone_number": "661-279-4712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREJO",
        "first_name": "CHARLIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "51360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andy Vu Tran, DDS
• Hoang-Lan Tran
• Jeanie Tran, OD
• Quoc Tien Tran, MD
• Andrew Trejo
• Tri-Valley Behavioral Health Resources Inc.
• Trinity Healthcare Inc
• Trinity Solutions Home Healthcare Services, Inc.
• Desiree Marie Trippler, MSW, LCSW
• Patricia Alice Trivitt

• Physical Medicine & Rehabilitation Physician in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.

Verify at the official NPI Registry.