DR. JUAN M CARRILLO (NPI# 1619398252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619398252 |
| Entity Type | Individual |
| Full Name | DR. JUAN M CARRILLO |
| Other Name | DR. JUAN CARRILLO |
| Credential | M.D. |
| Practice Address |
1104 N Mission Rd Los Angeles CA 90033-1017 |
| Practice Telephone | 3233430520 |
| Practice Fax Number | 3232252752 |
| Mailing Telephone | 3233430520 |
| Mailing Fax Number | 3232252752 |
| Enumeration Date | 2013-12-28 |
| Last Update Date | 2013-12-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G 80972 | CA | Other Service Providers |
| 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 |
| 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 |
| 1124048301 | Juan C Carrillo | Pediatrics | 2880 Story Rd, San Jose, CA 95127-3942 | 2006-07-20 |
| Street Address |
1104 N MISSION RD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982724498 | Pedro Manuel Ortiz-colom | Public Health or Welfare | 1104 N Mission Rd, Los Angeles, CA 90033-1017 | 2007-03-29 |
| 1720632482 | Job Daniel Augustine | Pathology | 1104 N Mission Rd, Los Angeles, CA 90033-1017 | 2019-07-30 |
| 1023597952 | Jonathan Lucas | Pathology | 1104 N Mission Rd, Los Angeles, CA 90033-1017 | 2018-08-10 |
| 1457839813 | Timothy Franklin Dutra | Pathology | 1104 N Mission Rd, Los Angeles, CA 90033-1017 | 2018-07-29 |
| 1114478633 | Yulai Wang | Pathology | 1104 N Mission Rd, Los Angeles, CA 90033-1017 | 2016-10-19 |
| 1730639998 | Raffi Djabourian | Pathology | 1104 N Mission Rd, Los Angeles, CA 90033-1017 | 2016-10-11 |
| 1376093922 | Christopher Rogers | Pathology | 1104 N Mission Rd, Los Angeles, CA 90033-1017 | 2016-10-06 |
| 1659740264 | Los Angeles Department of Medical Examiner-coroner | Pathology | 1104 N Mission Rd, Los Angeles, CA 90033-1017 | 2015-09-24 |
| 1245469444 | Odey Chukwuemeka Ukpo | Pathology | 1104 N Mission Rd, Los Angeles, CA 90033-1017 | 2009-07-08 |
| 1518137975 | Paul Victor Gliniecki | Pathology | 1104 N Mission Rd, Medical Examiner-coroner, Los Angeles, Los Angeles, CA 90033-1017 | 2008-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
| 1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| Find all providers in zip 90033 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255801098 | Maria Elizabeth Botham | Specialist | 8250 W 3rd St Ste 203, Los Angeles, CA 90048-4327 | 2018-12-04 |
| 1154899821 | Adam Garcia-morales | Specialist | 216 S Townsend Ave, Los Angeles, CA 90063-2439 | 2018-11-11 |
| 1174028930 | Sabrena Anne Smith | Specialist | 1680 Vine St Ste 908, Los Angeles, CA 90028-8838 | 2018-03-26 |
| 1538663513 | John Horton | Specialist | 760 Westwood Plaza, Resident Office, Los Angeles, CA 90024 | 2018-03-22 |
| 1598272262 | Ronna Lynne Pearl | Specialist | 3371 Glendale Blvd Ste 215, Los Angeles, CA 90039-1857 | 2018-01-04 |
| 1245754431 | Marla Ellen Mintz | Specialist | 11844 W Pico Blvd Ste 200, Los Angeles, CA 90064-1353 | 2017-07-28 |
| 1730619818 | Emily Ng | Specialist | 8590 W Pico Blvd, Los Angeles, CA 90035-2691 | 2017-06-12 |
| 1871044297 | Katherinne Aucaruri | Specialist | 4225 Blanchard St, Los Angeles, CA 90063-1317 | 2016-10-20 |
| 1720536923 | Jkc Neurology Medical Group Inc | Specialist | 3550 Wilshire Blvd Ste 650, Los Angeles, CA 90010-2440 | 2016-09-15 |
| 1932552916 | Anthony Jose Salvatierra | Specialist | 421 S Manhattan Pl Apt 9, Los Angeles, CA 90020-4175 | 2016-07-14 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
Please comment or provide details below to improve the information on DR. JUAN M 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.