Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Simon Pedro Trujillo, IDC

Individual provider Independent Duty Corpsman · NPI 1639793607

Simon Pedro Trujillo, IDC is an Independent Duty Corpsman in San Clemente, California. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

85 Sandpiper Ave
San Clemente, CA 92672-2616
Phone: (469) 734-1658
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1639793607
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedJune 4, 2020
Last updated in NPPESJune 4, 2020
Certification dateJune 4, 2020
Mailing address85 Sandpiper Ave, San Clemente, CA 92672-2616

Other providers in San Clemente