Individual provider Active NPI

Efren Rillo

  • Internal Medicine Physician
  • Perris, CA
National Provider Identifier
1295878320
Registry record updated Aug 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A50960 Issued in CA
Practice address
620 N Perris Blvd
Perris, CA 92571-2816
Phone
(951) 943-8081
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A50960 CA Primary
Internal Medicine Physician 207R00000X 189610 NY

Addresses

Primary practice location

620 N Perris Blvd
Perris, CA 92571-2816

Mailing address

620 N Perris Blvd
Perris, CA 92571-2816
Phone (951) 943-8081

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
189610NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Compassion Hospice & Palliative Care CurrentSince Jun 9, 2014 Accepting new patients
Anthem Hospice Providers, Inc. Current Accepting new patients
Anthem Hospice Providers, Inc. CurrentSince Jul 25, 2014 Accepting new patients
California Em-I Medical Services Past Accepting new patients
Brookdale Hospital Medical Center Past Accepting new patients

Organizations & group practices 5

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1295878320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N PERRIS BLVD",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925712816",
            "telephone_number": "951-943-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N PERRIS BLVD",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925712816",
            "telephone_number": "951-943-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILLO",
        "first_name": "EFREN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A50960",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "189610",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.