Carl Murillo, M.D.
Individual provider Active NPI Specialist · Murietta, CA
NPI 1124018023 · NPPES record last updated Feb 4, 2008
Key facts
- NPI
- 1124018023
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- G066841 (CA)
- Practice address
- 25500 Medical Center Dr
Murietta, CA 92562-5965 - Phone
- (909) 696-6000
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.17 of 100
- Quality
- 87.26
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080423000452 | CA | Practitioner - Emergency Medicine | 7214988278 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G066841 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temecula Valley Emergency Medical Associates | Specialist | Current |
Accepting new patients |
Locations
25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000
28062 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G066841 | CA | Yes |
Addresses
Primary practice location
25500 Medical Center Dr
Murietta, CA 92562-5965
Mailing address
3156 Vista Way
Suite 405
Oceanside, CA 92056-3622
Phone (760) 439-6581
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G668410 | Medicaid | CA |
Other providers in Murietta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.