Individual provider Active NPI

Erin Rei Hayashi-Carrillo, RN

  • Registered Nurse
  • Hayward, CA
National Provider Identifier
1487845251
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
356856 Issued in CA
Practice address
20094 Mission Blvd
Hayward, CA 94541-1237
Phone
(510) 727-9755
Fax
(510) 727-9761
NPI assigned
Aug 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 356856 CA Primary

Addresses

Primary practice location

20094 Mission Blvd
Hayward, CA 94541-1237

Mailing address

20094 Mission Blvd
Hayward, CA 94541-1237
Phone (510) 727-9755

Other names 1

  • Erin Rei Carrillo Other name

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
356856CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Humanistic Alternatives to Addiction, Research and Treatment Inc. Past Accepting new patients
Humanistic Alternatives to Addiction Research and Treatment, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1487845251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20094 MISSION BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945411237",
            "telephone_number": "510-727-9755",
            "fax_number": "510-727-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20094 MISSION BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945411237",
            "telephone_number": "510-727-9755",
            "fax_number": "510-727-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYASHI-CARRILLO",
        "first_name": "ERIN",
        "middle_name": "REI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "356856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "CARRILLO",
            "middle_name": "REI",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.