DR. ISRAEL JEDIDIAH TRUJILLO DDS
NPI 1801104385
Dentist - Periodontics in Merced, CA
NPI Status: Active since September 19, 2010
Contact Information
850 W OLIVE AVE
SUITE D
MERCED, CA
ZIP 95348
Phone: (209) 383-3816
Fax: (209) 383-3817
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Individual
- Male
- Dentist
- Periodontics
- Opted-Out Medicare
About ISRAEL TRUJILLO
This page provides the complete NPI Profile along with additional information for Israel Trujillo, a provider established in Merced, California with a medical specialization in Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1801104385 assigned on September 2010. The practitioner's primary taxonomy code is 1223P0300X with license number 58761 (CA). The provider is registered as an individual and his NPI record was last updated August 2025.
- NPI
- 1801104385
- Provider Name
- DR. ISRAEL JEDIDIAH TRUJILLO DDS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 850 W OLIVE AVE SUITE D MERCED, CA 95348
- Location Phone
- (209) 383-3816
- Location Fax
- (209) 383-3817
- Mailing Address
- 850 W OLIVE AVE SUITE D MERCED, CA 95348
- Mailing Phone
- (209) 383-3816
- Mailing Fax
- (209) 383-3817
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-19-2010
- Last Update Date
- 08-14-2025
- Code Navigator
A dentist like Israel Trujillo is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Israel Trujillo opted out of Medicare effective on 12-17-2021 until 12-17-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Periodontics
- Taxonomy Code
- 1223P0300X
- Type
- Dental Providers
- License No.
- 58761
- License State
- CA
- Taxonomy Description
- That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 12-17-2021
Opt-Out End Date: 12-17-2025
Eligible to Order and Refer? No
Reviews for DR. ISRAEL JEDIDIAH TRUJILLO DDS
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 0 | 1 | 1 | 0 | 4 | 3 | 8 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 0 | 1 | 2 | 0 | 8 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 0 + 1 + 2 + 0 + 8 + 3 + 1 + 6 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1801104385 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1518192038 | REZA VAFADOUSTE MD A MEDICAL CORPORATION Organization | Internal Medicine (Cardiovascular Disease) | 850 W OLIVE AVE SUITE A MERCED, CA 95348 (209) 725-1990 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801104385, enumerated in the NPI registry as an "individual" on September 19, 2010
The provider is located at 850 W Olive Ave Suite D Merced, Ca 95348 and the phone number is (209) 383-3816
The provider's speciality is Dentist with taxonomy code 1223P0300X with a focus in Periodontics
No, the provider signed an affidavit on December 17, 2021 to opt-out of the Medicare program. The provider is excluded from the Medicare program until December 17, 2025.
This NPI record was last updated on September 19, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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