TRACY THOMAS TRUJILLO (NPI# 1508856725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508856725 |
| Entity Type | Individual |
| Full Name | TRACY THOMAS TRUJILLO |
| Credential | MD |
| Practice Address |
200 Porter Drive Suite 300 San Ramon CA 94583-1524 |
| Practice Telephone | 9258386500 |
| Practice Fax Number | 9258386542 |
| Mailing Telephone | 9258386511 |
| Mailing Fax Number | 9258386544 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | G72064 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
200 PORTER DRIVE SUITE 300 |
| City | SAN RAMON |
| State | CA |
| Zip Code | 94583-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255332953 | Kushal Chhabra | Specialist | 200 Porter Drive, Suite 300, San Ramon, CA 94583-1524 | 2005-08-03 |
| 1467999813 | Webster Surgery Center, Lp | Clinic/Center | 200 Porter Drive, Suite 100, San Ramon, CA 94583 | 2017-01-24 |
| 1295893550 | Planned Parenthood | Clinic/Center | 200 Porter Drive, San Ramon, CA 94583-1529 | 2006-12-05 |
| 1265522346 | Praise Tsan En Shang | Family Medicine | 200 Porter Drive, Suite 300, San Ramon, CA 94583-1524 | 2006-10-13 |
| 1821187881 | Marjan Naraghi-arani | Family Medicine | 200 Porter Drive, Suite 300, San Ramon, CA 94583-1524 | 2006-10-11 |
| 1407835432 | Janice M Lee | Internal Medicine | 200 Porter Drive, Suite 300, San Ramon, CA 94583-1524 | 2006-01-10 |
| 1801887930 | Thomas Francis Long | Pediatrics | 200 Porter Drive, Suite 300, San Ramon, CA 94583-1524 | 2005-10-28 |
| 1992795124 | Colleen Mary Hogan | Pediatrics | 200 Porter Drive, Suite 300, San Ramon, CA 94583-1524 | 2005-10-27 |
| 1417947649 | Tracy Lee Trotter | Pediatrics | 200 Porter Drive, Suite 300, San Ramon, CA 94583-1524 | 2005-10-27 |
| 1356331573 | Mary Jude Gabrielson | Nurse Practitioner | 200 Porter Drive, Suite 300, San Ramon, CA 94583-1524 | 2005-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295375475 | Angel Beatrice Mckneely | Behavior Technician | 3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583 | 2020-01-15 |
| 1205302247 | Asma Parisa Rezaye | Behavior Technician | 4708 Norris Canyon Rd, Unit 201, San Ramon, CA 94583 | 2018-10-17 |
| 1679055461 | Mary Martineau | Speech-Language Pathologist | 210 Porter Dr Ste 120, San Ramon, CA 94583 | 2018-08-29 |
| 1336631332 | Alison Jean Barnes | Behavior Technician | Goals for Autism, 1 Crow Canyon Court, San Ramon, CA 94583 | 2018-06-05 |
| 1730671975 | Michael Federico | Pharmacist | 2735 Ascot Drive, San Ramon, CA 94583 | 2018-06-04 |
| 1508384843 | Donor Network West | Organ Procurement Organization | 12667 Alcosta Blvd., Suite 500, San Ramon, CA 94583 | 2017-09-07 |
| 1265950141 | Danielle Lustig Fitch | Marriage & Family Therapist | 3180 Crown Canyon Pl. Ste 140, San Ramon, CA 94583 | 2017-08-31 |
| 1386166205 | Park Place Ambulatory Surgery Center | Orthopaedic Surgery | 100 Park Place, Suite 100, San Ramon, CA 94583 | 2017-07-12 |
| 1952822991 | Virginia Rutledge Mosby | Marriage & Family Therapist | 3180 Crow Canyon Place #140, San Ramon, CA 94583 | 2017-06-29 |
| 1437684784 | Nakhla Dental Group | Dentist | Crow Canyon Dental, 2821 Crow Canyon Road #200, San Ramon, CA 94583 | 2017-04-25 |
| Find all providers in zip 94583 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558793281 | Ima Nabiuny | Pediatrics | 3151 Crow Canyon Pl, San Ramon, CA 94583-1359 | 2013-08-05 |
| 1447219902 | Toril Jelter | Pediatrics | 5201 Norris Canyon Rd, Suite 140, San Ramon, CA 94583-5411 | 2006-03-22 |
| 1265401178 | Tapashi Dev Roy | Pediatrics | 1081 Market Pl, San Ramon, CA 94583-4749 | 2006-03-14 |
| 1366445298 | Richard D Ash | Pediatrics | 5601 Norris Canyon Rd, Suite 230, San Ramon, CA 94583-5407 | 2005-05-24 |
| 1629249065 | Sheryl Coloma Militar | Pediatrics | 5401 Norris Canyon Rd, Suite 304 - Tri Valley Pediatrics, San Ramon, CA 94583-5409 | 2008-03-13 |
| 1902941867 | Nicholas Giardini | Pediatrics | 6001 Norris Canyon Rd, Pediatrics, Room 142, San Ramon, CA 94583-5400 | 2007-02-20 |
| 1548331804 | Melissa Pulling | Pediatrics | 6001 Norris Canyon Rd, Ob Unit- Room 142, San Ramon, CA 94583-5400 | 2006-11-10 |
| 1659459642 | Mary Eugenie Lim | Pediatrics | 6001 Norris Canyon Rd, Rm. 142, San Ramon, CA 94583-5400 | 2006-11-01 |
| 1689691396 | John Muir Physician Network | Pediatrics | 2305 Camino Ramon, Suite 120, San Ramon, CA 94583-1396 | 2006-07-17 |
| 1144245580 | Margaret J Saltzstein | Pediatrics | 2305 Camino Ramon, Suite 120, San Ramon, CA 94583-1396 | 2006-07-13 |
| Find all providers in SAN RAMON | ||||
Please comment or provide details below to improve the information on TRACY THOMAS TRUJILLO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.