KAREN CARRILLO (NPI# 1487289849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487289849 |
| Entity Type | Individual |
| Full Name | KAREN CARRILLO |
| Credential | NURSE PRACTITIONER |
| Practice Address |
14342 Ramona Blvd Baldwin Park CA 91706-3241 |
| Practice Telephone | 6263384088 |
| Mailing Telephone | 6263384088 |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-03-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95014103 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14342 RAMONA BLVD |
| City | BALDWIN PARK |
| State | CA |
| Zip Code | 91706-3241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225129281 | Marvin E Urbina | Family Medicine | 14342 Ramona Blvd, Baldwin Park, CA 91706-3241 | 2006-09-27 |
| 1073147963 | Gabriella Aracely Rosil | Nurse Practitioner | 14342 Ramona Blvd, Baldwin Park, CA 91706-3241 | 2020-02-28 |
| 1760906507 | La Providencia Ipa, Inc. | Family Medicine | 14342 Ramona Blvd, Baldwin Park, CA 91706-3241 | 2017-08-02 |
| 1528348901 | Herman Carrillo Md | General Practice | 14342 Ramona Blvd, Baldwin Park, CA 91706-3241 | 2011-08-17 |
| 1124214341 | Herman Carrillo,m.d. & Marvin Urbina Md Proffesional Corporation | General Practice | 14342 Ramona Blvd, Baldwin Park, CA 91706-3241 | 2007-09-20 |
| 1881785814 | Herman F Carrillo | Family Medicine | 14342 Ramona Blvd, Baldwin Park, CA 91706-3241 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588206700 | Sistine Manor Inc | Assisted Living Facility | 12755 Torch St, Baldwin Park, CA 91706 | 2019-10-09 |
| 1891268850 | Rodriguez Cruz Dental, Inc. | Clinic/Center | 14323 Ramona Blvd., Baldwin Park, CA 91706 | 2019-01-02 |
| 1942788633 | Desiree Montoya | Counselor | 13030 Ramona Blvd Unit 65, Baldwin Park, CA 91706 | 2018-08-03 |
| 1861978215 | Cassidy Alyse Harton | Counselor | 4514 Grace Ave, Baldwin Park, CA 91706 | 2018-07-18 |
| 1881146751 | Melissa Valenzuela | Nurse Practitioner | 14362 E. Ramona Blvd, Baldwin Park, CA 91706 | 2016-10-26 |
| 1629524228 | Trosclair Seals | Counselor | 36 S Kinneola Ave, Pasad, CA 91706 | 2016-09-01 |
| 1487025854 | Janeth Estevez | Case Manager/Care Coordinator | 14123 Masline St, Baldwin Park, CA 91706 | 2015-10-12 |
| 1932579570 | Bls Dental Group | Clinic/Center | 14032 Ramona Blvd., Bladwin Park, CA 91706 | 2015-09-25 |
| 1487068748 | Prakash P. Patel D.ds Inc | Dentist | 4138 N. Maine Ave, Suite N-3, Baldwin Park, CA 91706 | 2014-06-16 |
| 1295076891 | Julia Lauria | Rehabilitation Practitioner | 11317 Rmaona Blvd., Ste.c, Irwindale, CA 91706 | 2013-03-06 |
| Find all providers in zip 91706 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881146751 | Melissa Valenzuela | Nurse Practitioner | 14362 E. Ramona Blvd, Baldwin Park, CA 91706 | 2016-10-26 |
| 1518589944 | Jennifer Vida Diego Callueng | Nurse Practitioner | 14051 Ramona Pkwy, Baldwin Park, CA 91706-4114 | 2020-05-07 |
| 1073147963 | Gabriella Aracely Rosil | Nurse Practitioner | 14342 Ramona Blvd, Baldwin Park, CA 91706-3241 | 2020-02-28 |
| 1629616305 | Libby Rodriguez | Nurse Practitioner | 4070 Sterling Way, Baldwin Park, CA 91706-4223 | 2019-12-12 |
| 1063078657 | Diana P Leyva | Nurse Practitioner | 14362 Ramona Blvd, Baldwin Park, CA 91706-3241 | 2019-05-19 |
| 1679095236 | Evelyn Johanna Cojulun | Nurse Practitioner | 14362 Ramona Blvd, Baldwin Park, CA 91706-3241 | 2017-07-14 |
| 1598207664 | Veronica Hernandez | Nurse Practitioner | 14362 Ramona Blvd, Baldwin Park, CA 91706-3241 | 2016-11-07 |
| 1154875078 | Lily Chi | Nurse Practitioner | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2016-08-09 |
| 1669822144 | Omar Penney | Nurse Practitioner | 14362 Ramona Blvd, Baldwin Park, CA 91706-3241 | 2016-06-15 |
| 1467857714 | Allana Mae Delfin Depakakibo | Nurse Practitioner | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2014-10-29 |
| Find all providers in BALDWIN PARK | ||||
| City | BALDWIN PARK |
| Zip Code | 91706 |
Please comment or provide details below to improve the information on KAREN 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.