JUAN CARRILLO (NPI# 1053528182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053528182 |
| Entity Type | Individual |
| Full Name | JUAN CARRILLO |
| Practice Address |
1200 Maple St Ste 108 Madera CA 93637-6330 |
| Practice Telephone | 5596615194 |
| Practice Fax Number | 5596755149 |
| Mailing Telephone | 5596615194 |
| Mailing Fax Number | 5596755149 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2008-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497312144 | Juan Carlos Carrillo | Behavior Technician | 1143 Gale St, Escondido, CA 92027-1232 | 2019-05-28 |
| 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 |
| 1619398252 | Juan M Carrillo | Specialist | 1104 N Mission Rd, Los Angeles, CA 90033-1017 | 2013-12-28 |
| 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 |
1200 MAPLE ST STE 108 |
| City | MADERA |
| State | CA |
| Zip Code | 93637-6330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255662698 | Behavioral Health Services Alcohol Drug Progam | Counselor | 1200 Maple St Ste 108, Madera, CA 93637-6330 | 2010-01-25 |
| 1417283995 | Julie Valles | Counselor | 1200 Maple St Ste 108, Madera, CA 93637-6330 | 2009-10-19 |
| 1285806398 | David Soto Jr. | Social Worker | 1200 Maple St Ste 108, Madera, CA 93637-6330 | 2008-03-28 |
| 1376730101 | Marizela De La Torre | Nutritionist | 1200 Maple St Ste 108, Madera, CA 93637-6330 | 2007-09-25 |
| 1942496070 | Virginia L Sanchez | Marriage & Family Therapist | 1200 Maple St Ste 108, Madera, CA 93637-6330 | 2007-09-21 |
| 1043429251 | Angel Adalberto Delrio | Counselor | 1200 Maple St Ste 108, Madera, CA 93637-6330 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124635297 | Lindsay Kevin Ham | Pharmacist | 355 West Olive Ave, Madera, CA 93637 | 2020-09-23 |
| 1073163739 | Sandra Alicia Cruz | Behavioral Analyst | 1915 Howard Rd Suites B & C, Madera, CA 93637 | 2019-09-16 |
| 1205496494 | Ali Eshaghi | Pharmacist | 1504 Howard Rd. Savemart Pharmacy, Madera, CA 93637 | 2019-06-19 |
| 1881123222 | Ryan Leach | Case Manager/Care Coordinator | 209 W. Yosemite Ave, Madera, CA 93637 | 2017-06-08 |
| 1518496876 | Maria Angelica Maciel | Case Manager/Care Coordinator | 209 W. Yosemite Ave., Madera, CA 93637 | 2017-06-08 |
| 1376072736 | Teresa Ann Rodriguez Anzaldua | Case Manager/Care Coordinator | 209 W Yosemite Avenue, Madera, CA 93637 | 2017-06-08 |
| 1770022899 | Martha Dominguez Piceno | Nurse Practitioner | 1250 E. Almond Ave., Madera, CA 93637 | 2017-02-22 |
| 1851835623 | Joanna Barajas | Social Worker | 70 Makenna Drive, Madera, CA 93637 | 2016-12-13 |
| 1275924383 | Mandeep Kaur | Dentist | 1100 North Gateway Drive, Madera, CA 93637 | 2015-02-11 |
| 1265867535 | Arianna Llamas | Psychologist | 1955 Lemon Ave., Madera, CA 93637 | 2013-09-05 |
| Find all providers in zip 93637 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740735836 | Donnie Greene Jr. | Counselor | 412 Rancho Mirage Rd, Madera, CA 93638-9362 | 2016-08-18 |
| 1598022600 | Valarie Ann Shaffer | Counselor | 14227 Road 28, Madera, CA 93638 | 2012-04-13 |
| 1588845283 | Kelli Jimenez | Counselor | 984 Wolftrap Ct, Madera, CA 93637-2663 | 2007-11-21 |
| 1750507851 | Richard Lee Donati | Counselor | 1200 Maple Street, Suite 108, Madera, CA 93637 | 2007-04-17 |
| 1760608939 | Lynne Ann Meridith | Counselor | 450 S Madera Ave Ste H, Madera, CA 93637-5462 | 2007-04-17 |
| 1104462548 | Tadd York Patrick | Counselor | 209 E 7th St, Madera, CA 93638-3780 | 2019-11-20 |
| 1457869661 | Araseli Calderon Garcia | Counselor | 209 E 7th St, Madera, CA 93638-3780 | 2018-01-22 |
| 1639605959 | Michelle Cherta Lee | Counselor | 117 N R St, Madera, CA 93637-4465 | 2017-05-05 |
| 1780123919 | Domingo M. Valdez Jr. | Counselor | 209 E 7th St, Madera, CA 93638-3780 | 2017-02-21 |
| 1669845905 | Joaquin Edward Gonzales | Counselor | 209 E 7th St, Madera, CA 93638-3780 | 2015-11-09 |
| Find all providers in MADERA | ||||
Please comment or provide details below to improve the information on JUAN 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.