Paula Carrillo, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

228306 Issued in CA

Practice address

24941 Dracaea Ave
Moreno Valley, CA 92553-3777

Phone

(951) 579-6353

NPI assigned

Sep 11, 2023

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1649057118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24941 DRACAEA AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533777",
            "telephone_number": "951-579-6353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Florida Ave",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925434335",
            "country_code": "US",
            "telephone_number": "951-391-1470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "PAULA",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "228306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Carrillo
• Jeanette Esmeralda Carrillo
• Lauren Carrillo
• Lawrence Carrillo
• Maricruz Carrillo, RD
• Socorro Carrillo
• Dawanna Rebecca Carson
• Rachel Leann Carson, PA-C
• Donald Carter
• Keiyana Carter

• Licensed Vocational Nurse in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.