Individual provider Active NPI

Jennifer Lynn Neufeld-Trujillo, MD

  • Pediatrics Physician
  • Sonora, CA
National Provider Identifier
1861482671
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A78572 Issued in CA
Practice address
193 South Fairview Lane
Ste L
Sonora, CA 95370
Phone
(209) 536-5120
NPI assigned
Oct 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A78572 CA Primary

Addresses

Primary practice location

193 South Fairview Lane
Ste L
Sonora, CA 95370

Mailing address

193 Fairview LN Ste L
Sonora, CA 95370-4828
Phone (209) 536-5120

Other names 1

  • Mrs. Jennifer Lynn Trujillo Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050715000831 CA Practitioner - Pediatric Medicine 0244266641 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A78572CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Community Hospital CurrentSince Oct 31, 2010 Accepting new patients
Sonora Community Hospital Pediatrics CurrentSince Oct 31, 2010 Accepting new patients
Sonora Community Hospital Current Accepting new patients

Locations

193 Fairview Ln
Ste L
Sonora, CA 95370
Phone (209) 536-3720

12791 Cabezut Rd
Ste A
Sonora, CA 95370
Phone (209) 532-5524

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

193 Fairview Ln
Ste C
Sonora, CA 95370
Phone (209) 532-3124

193 Fairview Ln
Sonora, CA 95370
Phone (209) 536-5100

14542 Lolly Ln
Sonora, CA 95370
Phone (209) 536-3625

Organizations & group practices 3

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1861482671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 FAIRVIEW LN STE L",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953704828",
            "telephone_number": "209-536-5120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 SOUTH FAIRVIEW LANE",
            "address_2": "STE L",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "95370",
            "telephone_number": "209-536-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUFELD-TRUJILLO",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A78572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "TRUJILLO",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sonora, CA

Sources for this page

Verify at the official NPI Registry.