Anthony Zachariah Carrillo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1406 W Foothill Blvd Apt #H104
Upland, CA 91784-1406

Phone

(626) 493-3358

NPI assigned

Apr 5, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1346945532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 W FOOTHILL BLVD APT #H104",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917841406",
            "telephone_number": "626-493-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 W FOOTHILL BLVD APT #H104",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917841406",
            "telephone_number": "626-493-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "ANTHONY",
        "middle_name": "ZACHARIAH",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perry Carney, M.D.
• Nancy Eliza Caro, AMFT
• Vincent Joseph Carollo, M.D.
• Ann Carpena, LMFT
• Jessica Carranza
• Chris Carrillo
• Victoria Carrillo
• Tyler Carroll
• Kevin Brian Carter, B.A., CAODC
• Sarah Mary Carter, NP

• Behavior Technician in Upland, CA
• Providers in Upland, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.