MS. ROSANNA J. CARRILLO (NPI# 1043439557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043439557 |
| Entity Type | Individual |
| Full Name | MS. ROSANNA J. CARRILLO |
| Other Name | MS. ROSANNA J. CARRILLO-MACEDO |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
421 N Church St Visalia CA 93291-5006 |
| Mailing Address |
3010 Beard Rd Napa CA 94558-3442 |
| Practice Telephone | 2094647738 |
| Practice Fax Number | 2094645142 |
| Mailing Telephone | 7072558825 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2014-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 15335 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PRACTICING LICENSE # | LICENSE # 15335 | 01 |
| CA | RX # | DEA #MC1238066 | 01 |
| Street Address |
421 N CHURCH ST |
| City | VISALIA |
| State | CA |
| Zip Code | 93291-5006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964854 | Stephanie Janae Ybarra | Orthotist | 5412 Avenida De Los Robles, Suite 101, Visalia, CA 93291 | 2020-02-21 |
| 1689223067 | Patricia Mari Marquez | Technician | 32481 Road 127, Visalia, CA 93291 | 2019-09-09 |
| 1942767710 | Jeremy Clifton Mccallister | Counselor | 120 W. School Ave., Visalia, CA 93291 | 2019-02-27 |
| 1568975290 | Kaweah Delta Health Care District | Clinic/Center | 3600 Flagstaff Avenue, Visalia, CA 93291 | 2017-11-16 |
| 1932625308 | Christina Gonzalez | Counselor | New Hope, 212 N. Stevenson, Visalia, CA 93291 | 2017-08-17 |
| 1629598545 | Estherose Molina | Assistant Behavior Analyst | 5445 W. Sweet Drive, Visalia, CA 93291 | 2017-06-21 |
| 1487195988 | Brenda Rodriguez | Case Manager/Care Coordinator | 546 East Tulare Ave, Visalia, CA 93291 | 2017-03-16 |
| 1295181857 | David James Tsuneji Fujihara | Emergency Medicine | 400 W. Mineral King Ave, Visalia, CA 93291 | 2016-05-12 |
| 1326409343 | Bay Area Surgical Specialists, Inc A Medical Corporation | Pain Medicine | 5127 W Noble Ave, Visalia, CA 93291 | 2016-03-18 |
| 1932585700 | Charles Dominick Trentacosti | Occupational Therapy Assistant | 514 N Bridge St, Visalia, CA 93291 | 2015-08-04 |
| Find all providers in zip 93291 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760048318 | Samira Hameed | Physician Assistant | 3050 N Kayenta St, Visalia, CA 93291-8696 | 2019-05-18 |
| 1508201856 | Lupita Noemi Alvarez | Physician Assistant | 1910 N Park St, Visalia, CA 93291-1929 | 2013-04-30 |
| 1083736599 | Monika Lombardi | Physician Assistant | 1700 S Court St Ste D, Visalia, CA 93277-4931 | 2007-04-04 |
| 1891841375 | Ronald H. Blimling | Physician Assistant | 5344 W. Cypress Ave, Suite 102, Visalia, CA 93277 | 2007-01-26 |
| 1316999535 | Jaime Cueto Salvatierra | Physician Assistant | 113 N Church Street, Suite #306, Visalia, CA 93291-6300 | 2006-05-16 |
| 1497703284 | Robert Cardenas | Physician Assistant | 118 N Akers St, Visalia, CA 93291-5121 | 2006-05-04 |
| 1962470922 | Mira Awad | Physician Assistant | 201 E Noble Ave, Visalia, CA 93277-2857 | 2006-03-08 |
| 1093707143 | Raj Kumar | Physician Assistant | 36650 Road 112, Visalia, CA 93291-9517 | 2005-08-16 |
| 1821616608 | Melissa Perez | Physician Assistant | 305 E Center Ave, Visalia, CA 93291-6331 | 2020-07-08 |
| 1437772423 | Kyle Webster | Physician Assistant | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-05-25 |
| Find all providers in VISALIA | ||||
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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.