Active NPI
Joseph Patrick Carrillo, N.P.
- Family Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1154780328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP95003708
- Practice address
- 123 S Alvarado St
Los Angeles, CA 90057-2201 - Phone
- (213) 989-7700
- NPI assigned
- Feb 17, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP95003708 | CA | Primary |
Addresses
Primary practice location
123 S Alvarado St
Los Angeles, CA 90057-2201
Mailing address
123 S Alvarado St
Los Angeles, CA 90057-2201
Phone (213) 989-7700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95003708 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455667200000",
"number": "1154780328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 S ALVARADO ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900572201",
"telephone_number": "213-989-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 S ALVARADO ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900572201",
"telephone_number": "213-989-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRILLO",
"first_name": "JOSEPH",
"middle_name": "PATRICK",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-17",
"last_updated": "2016-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP95003708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.