CARLOS CARRILLO (NPI# 1528449139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528449139 |
| Entity Type | Individual |
| Full Name | CARLOS CARRILLO |
| Practice Address |
111 Corte Mesa Ave San Rafael CA 94901-1303 |
| Practice Telephone | 4158792525 |
| Mailing Telephone | 4158792525 |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | SRJH102516761 | CA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326432139 | Carlos Carrillo | Technician, Other | 20325 Old Cutler Rd, Cutler Bay, FL 33189-1831 | 2015-03-19 |
| 1043568017 | Carlos Carrillo | Case Manager/Care Coordinator | 4202 W Idell St, Tampa, FL 33614-2501 | 2012-08-26 |
| 1609473768 | Carlos A Carrillo | Dentist | 1011 Medical Plaza Dr, Spring, TX 77380-3249 | 2020-10-01 |
| 1144847146 | Carlos W Carrillo | Health Educator | 25722 Kingsland Blvd Ste 205, Katy, TX 77494-2643 | 2020-06-25 |
| 1225591662 | Carlos Alfonso Carrillo | Nurse Practitioner | 1700 Murchison Dr, El Paso, TX 79902-2931 | 2019-04-11 |
| 1104853951 | Carlos A. Carrillo | Surgery | 701 W Cocoa Beach Cswy, Cocoa Beach, FL 32931-3585 | 2006-06-27 |
| Street Address |
111 CORTE MESA AVE |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427606474 | Yb Nk Ventures, Inc | Durable Medical Equipment & Medical Supplies | 35 Mitchell Blvd Ste 3a, San Rafael, CA 94903-2012 | 2019-09-03 |
| 1235550377 | Northcoast Mobility | Durable Medical Equipment & Medical Supplies | 1281 Andersen Dr Ste F, San Rafael, CA 94901-5335 | 2013-12-16 |
| 1326363995 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 155 Northgate One, San Rafael, CA 94903-3417 | 2010-04-07 |
| 1790968725 | Huntleigh Healthcare LLC | Durable Medical Equipment & Medical Supplies | 625 Dubois Street, Suite B, San Rafael, CA 95901 | 2007-12-13 |
| 1063587202 | Marin Ophthalmic Gallary | Durable Medical Equipment & Medical Supplies | 901 E St Ste 285, San Rafael, CA 94901-2850 | 2006-11-22 |
| 1295844710 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 471 Third Street, Monecito Shopping Center, San Rafael, CA 94901-3576 | 2006-08-29 |
| 1962424077 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1500 Northgate Mall, San Rafael, CA 94903-3671 | 2006-07-25 |
| 1164451183 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 950 Las Gallinas, San Rafael, CA 94903 | 2006-07-02 |
| 1508802174 | Smith Bio Medical Inc | Durable Medical Equipment & Medical Supplies | 1201 Andersen Drive, Suite Y, San Rafael, CA 94901-5342 | 2006-06-21 |
| 1205828373 | Northgate Care Center, Inc. | Durable Medical Equipment & Medical Supplies | 40 Professional Parkway, San Rafael, CA 94903-2703 | 2005-08-16 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on CARLOS CARRILLO.
| 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.