Lincoln Esguerra Carillo, D.C.

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

0104556819 Issued in VA

Practice address

7601 Little River Tpke
#100
Annandale, VA 22003-2601

Phone

(703) 642-1004

Fax

(703) 642-3232

NPI assigned

Mar 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• International Medical Center, Inc

  • General Practice Physician
  • Springfield, VA
  • NPI 1265685515
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1124145180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 SUNSTONE DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023932",
            "telephone_number": "714-616-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 LITTLE RIVER TPKE",
            "address_2": "#100",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032601",
            "telephone_number": "703-642-1004",
            "fax_number": "703-642-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARILLO",
        "first_name": "LINCOLN",
        "middle_name": "ESGUERRA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "23418",
            "primary": false
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "VA",
            "license": "0104556819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "232549ZBSM",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cardiac and Vascular Care of Virginia, P.C.
• Cardinal Acupuncture LLC
• Cardiology Specialists of Virginia
• Care Advantage, Inc.
• Carebridge Home Health Care LLC
• Carma Health Virginia LLC
• Julie Ann Carper, OTR/L
• Casa Pediatrics II
• Michael P Cassidy, MD
• Felix Davis Castro, M.D., FACC

• Internist Chiropractor in Annandale, VA
• Providers in Annandale, VA by specialty
• Internist Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.