NPIMap

Individual provider Active NPI

Cristian Carrillo

  • General Practice Physician
  • Salinas, CA
National Provider Identifier
1144713918
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
20A17606 Issued in CA
Practice address
1441 Constitution Blvd
Salinas, CA 93906-3100
Phone
(831) 755-4123
NPI assigned
Jun 7, 2018
Last updated
Mar 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 20A17606 CA Primary

Addresses

Primary practice location

1441 Constitution Blvd
Salinas, CA 93906-3100

Mailing address

1615 Bunker Hill Way
Salinas, CA 93906-6013

Other practice location 1

10561 Merritt St
Castroville, CA 95012-3310
Phone (831) 633-1514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200130002079 CA Practitioner - Family Practice 4880020445 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Western University of Health Sciences College of Dental Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of MontereyGroup PAC ID 2466345632, 186 clinicians
Hazel Hawkins Memorial HospitalGroup PAC ID 9133038326, 52 clinicians

Practice addresses (Care Compare)

559 E Alisal St
Suite 201
Salinas, CA 93905-2516
Phone (831) 769-8800

911 Sunset Dr
Hollister, CA 95023-5606
Phone 83163726262601

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A17606CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hazel Hawkins Memorial Hospital CurrentSince Jun 1, 2025 Accepting new patients
County of Monterey CurrentSince May 24, 2024 Accepting new patients
Hazel Hawkins Memorial Hospital CurrentSince Jun 1, 2025 Accepting new patients
County of Monterey Current Accepting new patients
Pinehurst Hospitalist Medical Group, Inc. CurrentSince Dec 1, 2024 Accepting new patients
County of Monterey Past Accepting new patients

Locations

911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

1441 Constitution Blvd
Bldg 151
Salinas, CA 93906
Phone (831) 755-8640

1441 Constitution Blvd
Ste 300
Salinas, CA 93906
Phone (831) 783-2506

331 N Sanborn Rd
Salinas, CA 93905
Phone (831) 755-5000

75 Nielson St
Watsonville, CA 95076
Phone (831) 724-4741

Interoperability endpoints

  • Direct secure messaging: cristian.carrillo.p1@direct.csvs.nextgenshare.com

Organizations & group practices 6

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1144713918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 BUNKER HILL WAY",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939066013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 CONSTITUTION BLVD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063100",
            "telephone_number": "831-755-4123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10561 Merritt St",
            "address_purpose": "LOCATION",
            "city": "Castroville",
            "state": "CA",
            "postal_code": "950123310",
            "country_code": "US",
            "telephone_number": "831-633-1514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "CRISTIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-07",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A17606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.