IGNACIO M. CARRILLO-NUNEZ, M.D., PC (NPI# 1659720811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659720811 |
Entity Type | Organization |
Organization Name | IGNACIO M. CARRILLO-NUNEZ, M.D., PC |
Practice Address |
18111 Brookhurst St Suite 6200 Fountain Valley CA 92708-6728 |
Practice Telephone | 7147979027 |
Practice Fax Number | 7143785517 |
Mailing Telephone | 7147979027 |
Mailing Fax Number | 7143785517 |
Enumeration Date | 2016-06-08 |
Last Update Date | 2016-09-09 |
Authorized Official Name | IGNACIO MARCOS CARRILLO-NUNEZ (PRESIDENT) |
Authorized Official Telephone | 7147979027 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
A051049 | CA | Allopathic & Osteopathic Physicians |
Street Address |
18111 BROOKHURST ST SUITE 6200 |
City | FOUNTAIN VALLEY |
State | CA |
Zip Code | 92708-6728 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699770370 | Tam Huu Le | Colon & Rectal Surgery | 18111 Brookhurst St, 2600, Fountain Valley, CA 92708-6728 | 2005-06-17 |
1578183885 | Bryant Tran | Respiratory Therapist, Registered | 18111 Brookhurst St, Fountain Valley, CA 92708-6728 | 2020-04-17 |
1992366439 | Heather Wright | Technician/Technologist | 18111 Brookhurst St, Fountain Valley, CA 92708-6728 | 2019-06-25 |
1083124549 | Timothy Franklin Horttor | Nurse Practitioner | 18111 Brookhurst St, Fountain Valley, CA 92708-6728 | 2017-10-10 |
1770938292 | Jules Stein Eye Institute Medical Group | Durable Medical Equipment & Medical Supplies | 18111 Brookhurst St, Suite 6400, Fountain Valley, CA 92708-6728 | 2016-05-03 |
1952787061 | Leport | Dietitian, Registered | 18111 Brookhurst St, Suite 5600, Fountain Valley, CA 92708-6728 | 2015-07-31 |
1821490970 | Benedict Yh Ching | Durable Medical Equipment & Medical Supplies | 18111 Brookhurst St, Suite 3400, Fountain Valley, CA 92708-6728 | 2014-09-19 |
1639509706 | Memorial Radiation Oncology Medical Group | Radiology | 18111 Brookhurst St, Suite Ll0300, Fountain Valley, CA 92708-6728 | 2013-11-26 |
1710311139 | Leport Education | Specialist | 18111 Brookhurst St, Suite 5600, Fountain Valley, CA 92708-6728 | 2013-08-22 |
1740622562 | Quy V. Le, Md Inc. | Surgery | 18111 Brookhurst St, 2600, Fountain Valley, CA 92708-6728 | 2013-07-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
1124632757 | Neck & Back Pain Specialists, A Balta Chiropractic Corporation | Chiropractor | 10231 Slater Ave. #113, Fountain Valley, CA 92708 | 2020-09-01 |
1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
1871022277 | Cathy A Castagna-petersen | Counselor | 10529 Slater Avenue, Fountain Valley, CA 92708 | 2017-06-08 |
Find all providers in zip 92708 |
Taxonomy Code | 2084V0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Vascular Neurology |
Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790292100 | Anna Barminova | Psychiatry & Neurology | 200 W Arbor Dr Ste 3, San Diego, CA 92103-1911 | 2018-01-08 |
1093234254 | Adam C Maclellan | Psychiatry & Neurology | Stanford Stroke Center, 780 Welch Road, Suite 350, Palo Alto, CA 94304 | 2017-09-19 |
1174925697 | Spine and Neurosurgical Trauma Associates of Northern California | Psychiatry & Neurology | 4690 Hoen Ave, Santa Rosa, CA 95405-7823 | 2014-09-17 |
1215255906 | Endovascular Neurosurgery, Inc | Psychiatry & Neurology | 9867 Saskatchewan Ave, San Diego, CA 92129-3506 | 2010-05-05 |
1528297009 | Wled Wazni | Psychiatry & Neurology | 1050 Linden Ave Fl 2, Long Beach, CA 90813-3321 | 2009-07-06 |
1295909554 | Royya Fatima Modir | Psychiatry & Neurology | 200 W Arbor Dr # 8466, Mon 3rd Fl, Suite 3, San Diego, CA 92103 | 2008-04-17 |
1740219468 | Neuron Diagnostic Services, Inc. | Psychiatry & Neurology | 1127 Wilshire Blvd Ste 1416, Los Angeles, CA 90017-4005 | 2006-07-03 |
1962449538 | Peter C Fung | Psychiatry & Neurology | 1208 E Arques Ave, Suite 113, Sunnyvale, CA 94085-5418 | 2006-06-01 |
1508374489 | David C Bonovich Md | Psychiatry & Neurology | 20103 Lake Chabot Rd, Castro Valley, CA 94546-5305 | 2018-01-13 |
1972022598 | Catherine Legault | Psychiatry & Neurology | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2017-09-14 |
Find all providers with the same taxonomy |
City | FOUNTAIN VALLEY |
Zip Code | 92708 |
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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.