IGNACIO MARCOS CARRILLO-NUNEZ (NPI# 1205827201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205827201 |
| Entity Type | Individual |
| Full Name | IGNACIO MARCOS CARRILLO-NUNEZ |
| Credential | M.D. |
| Practice Address |
1045 Atlantic Ave Ste 719 Long Beach CA 90813-3412 |
| Mailing Address |
18111 Brookhurst St 6200 Fountain Valley CA 92708-6728 |
| Practice Telephone | 5625911324 |
| Practice Fax Number | 5624371054 |
| Mailing Telephone | 7143785516 |
| Mailing Fax Number | 7143785517 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2016-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A51049 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | CK323Z | 01 |
| CA | 00A0510490 | 05 |
| Street Address |
1045 ATLANTIC AVE STE 719 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841294733 | Merrill M Knopf | Ophthalmology | 1045 Atlantic Ave, Ste 1007, Long Beach, CA 90813-3413 | 2005-06-08 |
| 1760928329 | Ps Ahuja Dental Corp | Dentist | 1045 Atlantic Ave, Ste 602, Long Beach, CA 90813-3408 | 2017-01-06 |
| 1821448028 | Cardiovascular Innovation and Research Center Inc | Internal Medicine | 1045 Atlantic Ave, Suite 611, Long Beach, CA 90813-3408 | 2016-06-17 |
| 1285007419 | St. Mary Medical Center | Clinic/Center | 1045 Atlantic Ave, Suite 914, Long Beach, CA 90813-3408 | 2015-11-10 |
| 1508289158 | Healthy Foundations Medical Group | Pediatrics | 1045 Atlantic Ave, Ste 715, Long Beach, CA 90813-3408 | 2014-01-31 |
| 1649513961 | American Pacific Medical Group Inc | Internal Medicine | 1045 Atlantic Ave, Suite 902, Long Beach, CA 90813-3408 | 2013-04-04 |
| 1235436023 | Janet Do | Pediatrics | 1045 Atlantic Ave, #605, Long Beach, CA 90813-3408 | 2011-02-15 |
| 1578864211 | Amar S Kapoor M D Inc | Internal Medicine | 1045 Atlantic Ave, Suite 611, Long Beach, CA 90813-3408 | 2010-11-11 |
| 1063720324 | Coreen Marie Correa | Nurse Practitioner | 1045 Atlantic Ave, 508, Long Beach, CA 90813-3408 | 2010-09-21 |
| 1790002236 | Michael O Liff Md Inc | Internal Medicine | 1045 Atlantic Ave, Suite 902, Long Beach, CA 90813-3408 | 2010-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
| 1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
| 1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
| 1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
| 1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
| 1629322722 | David O Chavez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813 | 2012-10-29 |
| Find all providers in zip 90813 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548551112 | Saheil Samih Aboutalib | Psychiatry & Neurology | 1045 Atlantic Ave Ste 719, Long Beach, CA 90813-3412 | 2011-04-29 |
| 1356630370 | Parissa Vassef | Psychiatry & Neurology | 701 E 28th St Ste 319, Long Beach, CA 90806-2783 | 2011-03-30 |
| 1609101211 | Mahsa Matloobi | Psychiatry & Neurology | 3747 Worsham Ave Ste 100, Long Beach, CA 90808-1734 | 2009-10-15 |
| 1265486757 | Southland Neurologic Associates of Orange County Inc | Psychiatry & Neurology | 3747 Worsham Avenue, #100, Long Beach, CA 90808-1774 | 2006-05-20 |
| 1528498409 | Southland Neurologic Institute A Medical Corporation | Psychiatry & Neurology | 3747 Worsham Avenue, #100, Long Beach, CA 90808-1774 | 2013-11-14 |
| 1124344767 | George C Wang | Psychiatry & Neurology | 3747 Worsham Ave Ste 100, Long Beach, CA 90808-1734 | 2010-04-07 |
| 1972834489 | Swh Naqvi Md PC | Psychiatry & Neurology | 267 Lincoln Blvd, Long Beach, NY 11561-3637 | 2010-01-22 |
| 1225206881 | Haeryong Oh | Psychiatry & Neurology | 2925 Palo Verde Ave, Long Beach, CA 90815-1552 | 2008-02-18 |
| 1821184854 | Selina Parveen | Psychiatry & Neurology | 5901 E 7th St, Long Beach, CA 90822-5201 | 2006-10-05 |
| 1629160213 | Marian Victoria Sowa | Psychiatry & Neurology | 5901 E. 7th St., Long Beach, CA 90822 | 2006-09-29 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90813 |
Please comment or provide details below to improve the information on IGNACIO MARCOS CARRILLO-NUNEZ.
| 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.