Angela Y Carrillo Segura

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

Practice address

11673 Cherry Ave
Fontana, CA 92337-0141

Phone

(909) 357-2031

Fax

(909) 357-1620

NPI assigned

Jul 19, 2022

Sex

Female

Sole proprietor

No

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

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.

• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Fontana, CA
  • NPI 1346359882
  NPD (past)
• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Winchester, CA
  • NPI 1437874062
  NPD (past)

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1144955600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11673 CHERRY AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923370141",
            "telephone_number": "909-357-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11673 CHERRY AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923370141",
            "telephone_number": "909-357-2031",
            "fax_number": "909-357-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO SEGURA",
        "first_name": "ANGELA",
        "middle_name": "Y",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Carlucci
• Rebecca Ann Carpio-Darshay, NP
• Joycelyn Loraine Carr
• Marilyn June Carrasco
• Sayra Yanet Carrazco Mendoza
• Carrillo Urbina & Garcia Inc
• Gisela Lilian Carrillo
• Carry Me Home Inc
• Carl Carson
• Hazel Marlene Carter, OT

• Pharmacy Technician in Fontana, CA
• Providers in Fontana, CA by specialty
• Pharmacy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.