NPIMap

Individual provider Active NPI

Raymond Richard Carrillo Jr., MD

  • Nephrology Physician
  • Salinas, CA
National Provider Identifier
1265511273
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G507670 Issued in CA
Practice address
917 Blanco Circle
Salinas, CA 93901-4446
Phone
(831) 755-7999
Fax
(831) 755-7975
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X G507670 CA Primary

Addresses

Primary practice location

917 Blanco Circle
Salinas, CA 93901-4446

Mailing address

917 Blanco Circle
Salinas, CA 93901-4446
Phone (831) 755-7999

Other identifiers 1

IdentifierTypeStateIssuer
00G507670MedicaidCA

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
I20110126000163 CA Practitioner - Nephrology 8820150451 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of California, Geffen School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

8095 Camino Arroyo
Suite 200
Gilroy, CA 95020-7304
Phone (408) 847-2200

917 Blanco Cir
Salinas, CA 93901-4446
Phone (831) 755-7999

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G507670CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Nephrology Medical Corporation Nephrology CurrentSince Nov 30, 1986 Accepting new patients
Hazel Hawkins Memorial Hospital CurrentSince Oct 1, 2015 Accepting new patients
County of Monterey Behavioral Health CurrentSince Aug 25, 2010 Accepting new patients
Hazel Hawkins Memorial Hospital CurrentSince Oct 1, 2015 Accepting new patients
County of Monterey CurrentSince Aug 25, 2010 Accepting new patients
County of Santa Clara Past Accepting new patients
Salinas Valley Memorial Healthcare System Past Accepting new patients
County of Monterey Past Accepting new patients

Locations

8095 Camino Arroyo
#200
Gilroy, CA 95020
Phone (408) 847-2200

8095 Camino Arroyo
#100
Gilroy, CA 95020
Phone (408) 848-5410

8095 Camino Arroyo
Gilroy, CA 95020

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

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

917 Blanco Cir
Salinas, CA 93901
Phone (831) 755-7999

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rcarrillo126146@santaclaravalley.direct-ci.net
  • Direct secure messaging: ray.carrillo@hhch.eclinicaldirectplus.com
  • Direct secure messaging: rcarrillo17720@direct.svmh.com

Organizations & group practices 8

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.

Hospital & facility affiliations 10

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1265511273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 BLANCO CIRCLE",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014446",
            "telephone_number": "831-755-7999",
            "fax_number": "831-755-7975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 BLANCO CIRCLE",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014446",
            "telephone_number": "831-755-7999",
            "fax_number": "831-755-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "RAYMOND",
        "middle_name": "RICHARD",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G507670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G507670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.