Fernando N Carrillo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

9613 Arrow Rte Ste a
Rancho Cucamonga, CA 91730-4552

Phone

(909) 491-8664

NPI assigned

May 2, 2023

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1851080360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9613 ARROW RTE STE A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304552",
            "telephone_number": "909-491-8664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9613 ARROW RTE STE A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304552",
            "telephone_number": "909-491-8664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "FERNANDO",
        "middle_name": "N",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrasco Podiatry Corporation
• Lidia Carrasco-Monterroso
• Nicholas Carrasco
• Pete Carrasco Jr., D.P.M.
• Alfonso Julius Carrillo, M.D.
• Vanessa Jeannette Carrillo, LVN
• Alma Carroll
• Andrea Carter
• Latoya Carter, M.A
• Marina Carter

• Behavior Technician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.