Alberto Gabriel Trujillo, PEER SPECIALIST

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

3270 Kerner Blvd Ste C
San Rafael, CA 94901-4840

Phone

(415) 457-4552

NPI assigned

Jan 31, 2024

Last updated

Jan 31, 2024By the provider in NPPES

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

Other names 1

• Gabriel Trujillo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1942063268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 DURAN DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032317",
            "telephone_number": "415-996-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 KERNER BLVD STE C",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949014840",
            "telephone_number": "415-457-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUJILLO",
        "first_name": "ALBERTO",
        "middle_name": "GABRIEL",
        "credential": "PEER SPECIALIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIEL",
            "last_name": "TRUJILLO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michael Triolo
• Jennifer Dawn Tripathy, MFT
• Melissa Jacqueline Troncin-D'Amore
• Ann Troy, M.D.
• Kathleen Rosalind Truax, MFT
• Krisna Truong
• Jaime Ross Tschirki
• Tiffanie Pei-Ling Tse, M.D.
• Kenneth A Tucker, P.T.
• David Michael Tully-Smith, M.D.

• Peer Specialist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.