NPIMap

Organization Active NPI

Mark Trujillo Surgical Assisting LLC

  • Surgical Technologist
  • Brighton, CO
National Provider Identifier
1972564292
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
License
CERTIFICATION F01493 Issued in CO
Legal business name
MARK TRUJILLO SURGICAL ASSISTING LLC
Practice address
788 S 10TH Ave
Brighton, CO 80601-3237
Phone
(303) 890-2015
NPI assigned
Mar 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mark Trujillo, CST/CFANPI 1194786855
Title
Owner
Phone
(303) 890-2015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZS0410X CERTIFICATION F01493 CO Primary

Addresses

Primary practice location

788 S 10TH Ave
Brighton, CO 80601-3237

Mailing address

PO Box 362
Brighton, CO 80601-0362
Phone (303) 890-2015

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972564292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 362",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806010362",
            "telephone_number": "303-890-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 S 10TH AVE",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806013237",
            "telephone_number": "303-890-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK TRUJILLO SURGICAL ASSISTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-890-2015",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CST/CFA"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "CO",
            "license": "CERTIFICATION F01493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.