Zulema Carrillo, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA20717 Issued in CA

Practice address

1003 N State St
Hemet, CA 92543-1474

Phone

(951) 652-0090

Fax

(951) 652-0090

NPI assigned

Nov 24, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Healthcare in Action Medical Group

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1881360758

  CA

  Medicare reassignment
• De la Llana Medical Group Inc

  • General Practice Physician
  • Hemet, CA
  • NPI 1457227688
  NPD (past)
• Las Palmas Medical Group

  • General Practice Physician
  • Hemet, CA
  • NPI 1164503652
  NPD (past)

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1780912014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 N STATE ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925431474",
            "telephone_number": "951-652-0090",
            "fax_number": "951-652-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 N STATE ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925431474",
            "telephone_number": "951-652-0090",
            "fax_number": "951-652-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "ZULEMA",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-24",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA20717",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "PA20717",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Carrera
• Kourtney Carrigan
• Brandee Carrillo
• Crystal Carrillo
• Peter Carrillo, PT
• Christopher Daniel Carroll
• Mia Elizabeth Carson, MD
• Elana Renu Carvalho
• Gerard Joaquim Carvalho, M.D.
• John Rosario Carvalho, M.B.B.S.

• All providers in Hemet, CA
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.