Ashley Carrillo

Individual provider Active NPI Physician Assistant · Jurupa Valley, CA

NPI 1336058775 · NPPES record last updated Sep 2, 2026

Key facts

NPI
1336058775
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
Practice address
5719 Ridegeview Ave
Jurupa Valley, CA 91752
Phone
(951) 534-1562
NPI assigned
Sep 2, 2026
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X CA Yes

Addresses

Primary practice location

5719 Ridegeview Ave
Jurupa Valley, CA 91752

Mailing address

5719 Ridegeview Ave
Jurupa Valley, CA 91752
Phone (951) 534-1562

Other providers in Jurupa Valley, CA

All providers in Jurupa Valley, CA · Physician Assistant in California

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.