Maria Elizabeth Pascual Carrillo

Primary specialty

DriverTaxonomy code 172A00000X

License

Y6620389 Issued in CA

Practice address

2581 E Temple Ave
West Covina, CA 91792-1890

Phone

(210) 502-8101

NPI assigned

Dec 26, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608940800000",
    "number": "1104413020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2581 E TEMPLE AVE APT E",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921890",
            "telephone_number": "210-502-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2581 E TEMPLE AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921890",
            "telephone_number": "210-502-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "MARIA ELIZABETH",
        "middle_name": "PASCUAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-26",
        "last_updated": "2020-12-26",
        "certification_date": "2020-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": "CA",
            "license": "Y6620389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Peter Carmona, D.C.
• Crystal Carrasquillo
• Wendy Carrera
• Wendy Carrillo Nambo
• Leslie Carrillo
• Michelle Carrillo
• Thelma Selene Carrillo
• Christiana Carter
• Darrell Anthony Carter, P.A.
• Katrina Carter, LMFT

• Driver in West Covina, CA
• Providers in West Covina, CA by specialty
• Driver in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.