Active NPI
Elisabeth Carillo, DC
- Chiropractor
- Costa Mesa, CA
National Provider Identifier
1518028836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC22617
- Practice address
- 1849 Illinois St
Costa Mesa, CA 92626 - Phone
- (949) 887-3173
- Fax
- (714) 437-1147
- NPI assigned
- Dec 12, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC22617 | CA | Primary |
Addresses
Primary practice location
1849 Illinois St
Costa Mesa, CA 92626
Mailing address
1849 Illinois St
Costa Mesa, CA 92626
Phone (949) 887-3176
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC22617 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518028836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1849 ILLINOIS ST",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "92626",
"telephone_number": "949-887-3176",
"fax_number": "714-437-1147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1849 ILLINOIS ST",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "92626",
"telephone_number": "949-887-3173",
"fax_number": "714-437-1147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARILLO",
"first_name": "ELISABETH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC22617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.