DR. JUAN C CARRILLO (NPI# 1124048301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124048301 |
| Entity Type | Individual |
| Full Name | DR. JUAN C CARRILLO |
| Credential | M.D. |
| Practice Address |
2880 Story Rd San Jose CA 95127-3942 |
| Mailing Address |
2880 Story Rd San Jose CA 95127 |
| Practice Telephone | 4089295439 |
| Practice Fax Number | 4089295010 |
| Mailing Telephone | 4089295439 |
| Mailing Fax Number | 4089295010 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | G57429 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL PROVIDER # | 00G574290 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497312144 | Juan Carlos Carrillo | Behavior Technician | 1143 Gale St, Escondido, CA 92027-1232 | 2019-05-28 |
| 1053528182 | Juan Carrillo | Counselor | 1200 Maple St Ste 108, Madera, CA 93637-6330 | 2007-05-17 |
| 1003871112 | Juan Manuel Carrillo | Dentist | 2008 John Rolfe Parkway, Richmond, VA 23238 | 2006-04-20 |
| 1417369877 | Juan Pablo Carrillo | Occupational Therapist | 11351 A James Watt, El Paso, TX 79936 | 2014-05-20 |
| 1619398252 | Juan M Carrillo | Specialist | 1104 N Mission Rd, Los Angeles, CA 90033-1017 | 2013-12-28 |
| 1386890234 | Juan Alfredo Carrillo | Orthopaedic Surgery | 302 Broadway St, Mount Vernon, IL 62864-5116 | 2008-08-12 |
| 1518054618 | Juan Carrillo | Internal Medicine | 505 E 70th St # Ht-4, New York, NY 10021-4872 | 2006-10-09 |
| Street Address |
2880 STORY RD |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95127-3942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598795791 | Hui Bettencourt | Physician Assistant | 2880 Story Rd, Suite 10, San Jose, CA 95127-3942 | 2006-07-04 |
| 1790219707 | Ann Nimesgern | Physician Assistant | 2880 Story Rd, San Jose, CA 95127-3942 | 2017-04-17 |
| 1306223615 | San Jose Foothill Family Community Clinic, Inc. | Clinic/Center | 2880 Story Rd, Suite 10, San Jose, CA 95127-3942 | 2015-05-06 |
| 1972946572 | Arturo Madrigal | Physician Assistant | 2880 Story Rd, Second Floor, San Jose, CA 95127-3942 | 2013-04-12 |
| 1588902258 | Monica Tan Dawley | Nurse Practitioner | 2880 Story Rd, San Jose, CA 95127-3942 | 2013-01-30 |
| 1073884854 | Leonard L Leimbach | Physician Assistant | 2880 Story Rd, San Jose, CA 95127-3942 | 2012-01-25 |
| 1265717680 | Preciosa Castillejo | Nurse Practitioner | 2880 Story Rd, San Jose, CA 95127-3942 | 2011-10-17 |
| 1568792927 | Trinh T Nguyen | Registered Nurse | 2880 Story Rd, San Jose, CA 95127-3942 | 2010-01-07 |
| 1205963162 | Kathleen Henry | Physician Assistant | 2880 Story Rd, Suite 10, San Jose, CA 95127-3942 | 2007-02-27 |
| 1720179989 | Angelica Mendoza Ruiz | Pediatrics | 2880 Story Rd, Suite A, San Jose, CA 95127-3942 | 2006-09-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635162 | Veronica Isabel Foggie | Massage Therapist | 3570 Ct, San Jose, CA 95127 | 2020-10-05 |
| 1235605528 | Melissa Ann Morgan | Case Manager/Care Coordinator | 428 N. White Rd., San Jose, CA 95127 | 2018-10-15 |
| 1386126621 | Alum Rock Counseling Center | Community/Behavioral Health | 14281 Story Road, San Jose, CA 95127 | 2018-09-04 |
| 1407359383 | Erin Rodriguez | Behavior Technician | 1593 Amesbury Way, San Jose, CA 95127 | 2018-03-16 |
| 1407209919 | Binita Dorce | Counselor | 14820 Mcvay Avenue, San Jose, CA 95127 | 2016-07-20 |
| 1851766448 | Lynn H Trieu | Pharmacist | 3200 Kawalker Ln, San Jose, CA 95127 | 2015-12-08 |
| 1184099723 | Royal Plus Home Care, Inc | In Home Supportive Care | 302-f Toyon Ave. #182, San Jose, CA 95127 | 2015-12-08 |
| 1710363916 | Chan Pham | Acupuncturist | 10048 Bethel Ave, San Jose, CA 95127 | 2015-08-11 |
| 1639574320 | Jesus I Yanez | Dentist | 100 South White Road Suite 210, San Jose, CA 95127 | 2014-10-24 |
| 1285051110 | Vinh Quang Tran | Pharmacist | 3478 Neves Way, San Jose, CA 95127 | 2014-03-28 |
| Find all providers in zip 95127 | ||||
| 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 |
|---|---|---|---|---|
| 1013424217 | Bay Area Pediatric Primary Care Inc. | Pediatrics | 244 N Jackson Ave Ste 203, San Jose, CA 95116-1604 | 2018-01-09 |
| 1912399478 | Myron Lee Stone | Pediatrics | 2101 Forest Ave Ste 130, San Jose, CA 95128-1424 | 2015-02-20 |
| 1205243763 | George Shin Han | Pediatrics | 976 Lenzen Ave Ste 1100, San Jose, CA 95126-2737 | 2014-07-16 |
| 1033537006 | Sphoorti D. Umarjee | Pediatrics | 276 International Cir Fl 1, San Jose, CA 95119-1130 | 2014-04-06 |
| 1508209453 | Richard Anthony Cirone Sr. | Pediatrics | 1645 Peregrino Way, San Jose, CA 95125-4547 | 2013-04-10 |
| 1679812556 | Hien Van Nguyen | Pediatrics | 1675 Burdette Dr, Ste #20, San Jose, CA 95121 | 2013-02-12 |
| 1699034199 | Amina Ahmed | Pediatrics | 2577 Samaritan Dr Ste 830, San Jose, CA 95124-4109 | 2012-05-04 |
| 1801166442 | Catherine S Yao | Pediatrics | 750 South Bascom Avenue, San Jose, CA 95128 | 2012-01-12 |
| 1659677243 | Sundus Ali | Pediatrics | 6489 Camden Ave Ste 102, San Jose, CA 95120 | 2011-01-31 |
| 1134459852 | Priyansha Sen Jamwal | Pediatrics | 80 Descanso Dr Unit 1317, San Jose, CA 95134-1829 | 2009-12-31 |
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| 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.