Robert Paul Carrillo, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

C147555 Issued in CA

Practice address

11105 Meadow Glen Way E
Escondido, CA 92026-7008

Phone

(619) 995-3273

NPI assigned

May 11, 2006

Sex

Male

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Healogics Specialty Physicians of California, PC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Porterville, CA
  • NPI 1114324118

  Surgery

  Medicare reassignment NPD
• Harrison Medical Center

  dba Harrison Urgent Care

  • Urgent Care Clinic/Center
  • Port Orchard, WA
  • NPI 1679613244
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1831149749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11105 MEADOW GLEN WAY E",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920267008",
            "telephone_number": "619-995-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11105 MEADOW GLEN WAY E",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920267008",
            "telephone_number": "619-995-3273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "ROBERT",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00018812",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "C147555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Poulson Expressive Art Therapies
• Amayra Carrillo
• Citlalli Carrillo
• Erika Carrillo, RDH, RDA
• Juan Carlos Carrillo
• Christine Lynn Carroll, RADT-1
• Nicole Carroll, ASW
• Fletcher Carson, IDC
• Markenya Carter
• Sean Carter, M.A HRM

• Surgery Physician in Escondido, CA
• Providers in Escondido, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.