Active NPI
Carolina Carrillo
- Pediatrics Physician
- Orange, CA
National Provider Identifier
1497556393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 210976
- Practice address
- 505 S Main St Ste 525
Orange, CA 92868-4553 - Phone
- (714) 509-8547
- NPI assigned
- Mar 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 210976 | CA | Primary |
Addresses
Primary practice location
505 S Main St Ste 525
Orange, CA 92868-4553
Mailing address
505 S Main St Ste 525
Orange, CA 92868-4553
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1497556393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 S MAIN ST STE 525",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S MAIN ST STE 525",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684553",
"telephone_number": "714-509-8547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRILLO",
"first_name": "CAROLINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-24",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "210976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.