Carrillo Urbina & Garcia Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A71133 Issued in CA

Legal business name

CARRILLO URBINA & GARCIA INC

Practice address

16980 Foothill Blvd Ste E
Fontana, CA 92335-3569

Phone

(909) 434-0616

NPI assigned

Sep 20, 2007

Last updated

May 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miguel Garcia, PA-CNPI 1568656262

Title

Administrator/Authorized Official

Phone

(909) 434-0808

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Miguel Garcia, PA-C

  • Physician Assistant
  • Fontana, CA
  • NPI 1568656262
  Medicare reassignment Authorized official
• Marvin E Urbina, MD

  • Family Medicine Physician
  • Baldwin Park, CA
  • NPI 1225129281
  Medicare reassignment

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1255527461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16980 FOOTHILL BLVD STE E",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353569",
            "telephone_number": "909-434-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16980 FOOTHILL BLVD STE E",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353569",
            "telephone_number": "909-434-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRILLO URBINA & GARCIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "ADMINISTRATOR/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "909-434-0808",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A71133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Carpio-Darshay, NP
• Joycelyn Loraine Carr
• Marilyn June Carrasco
• Sayra Yanet Carrazco Mendoza
• Angela Y Carrillo Segura
• Gisela Lilian Carrillo
• Carry Me Home Inc
• Carl Carson
• Hazel Marlene Carter, OT
• Keena Lynette Carter

• General Practice Physician in Fontana, CA
• Providers in Fontana, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.