Individual provider Active NPI

Daryn R Carrillo, BC-HIS, ACA

  • Hearing Instrument Specialist
  • Victorville, CA
National Provider Identifier
1174924724
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA3245 Issued in CA
Practice address
14201 Kentwood Blvd
Ste 2
Victorville, CA 92392-2472
Phone
(760) 952-2727
Fax
(760) 952-2247
NPI assigned
Sep 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HA3245 CA Primary
Hearing Instrument Specialist 237700000X 184 NV

Addresses

Primary practice location

14201 Kentwood Blvd
Ste 2
Victorville, CA 92392-2472

Mailing address

14201 Kentwood Blvd
Ste 2
Victorville, CA 92392-2472
Phone (760) 952-2727

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HA3245CAMDHearing Instrument Specialist
184NVMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Accuquest Hearing Center, LLC Hearing Instrument Specialist Past Accepting new patients
Lifestyle Hearing Aid Solutions Inc. Hearing Instrument Specialist Past Accepting new patients
Hearinglife Hearing Aid Center LLC Past Accepting new patients
Accuquest Hearing Center, LLC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1174924724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 KENTWOOD BLVD",
            "address_2": "STE 2",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922472",
            "telephone_number": "760-952-2727",
            "fax_number": "760-952-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 KENTWOOD BLVD",
            "address_2": "STE 2",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922472",
            "telephone_number": "760-952-2727",
            "fax_number": "760-952-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "DARYN",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "BC-HIS, ACA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA3245",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NV",
            "license": "184",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.