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NPI · 1588872089 · NPPES-sourced

Carrie Carrillo PA

ActiveSurgical Physician Assistant
NPI Number
1588872089
Type 1 · Individual
Taxonomy Code
363AS0400X
Contact
(714) 626-8630
License CA · PA17561
Last Updated
Enumerated
Primary practice addressCA · 92835-3831
2141 N Harbor Blvd Ste 35000Fullerton, CA 92835-3831
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About this NPIWhat this record shows.

NPI 1588872089 is registered to Carrie Carrillo PA, a Surgical Physician Assistant practising at 2141 N Harbor Blvd Ste 35000 in Fullerton, California. Surgical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Carrie Carrillo PA has been enumerated in the National Provider Identifier (NPI) registry since 2007.

Provider type
Individual (Type 1)
Status
Active
Enumerated

Beyond the registryWhat this record adds.

This record carries 1 secondary identifier beyond the base NPI: Medicaid and other payer cross-references used by billers and credentialers, which the standard CMS NPPES lookup does not surface. It is enrolled in Medicare, linking to 1 PECOS enrollment record (with a public Medicare Enrollment ID) sourced from CMS, which the NPPES registry does not list. Within the directory it is one of 1,126 Surgical Physician Assistant providers on file in California.

Source: CMS NPPES and PECOS public files. snapshot, refreshed monthly.

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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • PA17561CA· Issued by LICENSE

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Carrie Carrillo PA accepts. To confirm in-network status with your specific health plan, contact Carrie Carrillo PA directly at (714) 626-8630.

Frequently asked

Yes. NPI 1588872089 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Surgical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (714) 626-8630.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Carrie Carrillo PA is a Type-1 individual NPI.

As of the latest monthly CMS NPPES snapshot, 1,126 Surgical Physician Assistant providers are registered in California, and Carrie Carrillo PA is one of them. The figure refreshes each month from the federal source.

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Quick facts

Provider typeIndividual
Taxonomy363AS0400X
Last updated
Enumerated
StatusActive
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Same specialtyOther Surgical Physician Assistant providers in California.

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