Organization Active NPI

Yvette Carrillo DDS Ms Inc

  • Periodontics
  • San Diego, CA
National Provider Identifier
1942959416
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
YVETTE CARRILLO DDS MS INC
Practice address
3023 Bunker Hill St Ste 105
San Diego, CA 92109-5706
Phone
(858) 869-9234
Fax
(619) 374-2849
NPI assigned
Mar 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Authorized official

Name
Yvette Carrillo, DDS MSNPI 1275033912
Title
Dr. / Owner
Phone
(858) 869-9234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

3023 Bunker Hill St Ste 105
San Diego, CA 92109-5706

Mailing address

5797 Mission Center Rd # 202
San Diego, CA 92108-4300
Phone (909) 961-7700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1942959416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5797 MISSION CENTER RD # 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084300",
            "telephone_number": "909-961-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 BUNKER HILL ST STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921095706",
            "telephone_number": "858-869-9234",
            "fax_number": "619-374-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YVETTE CARRILLO DDS MS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "DR. / OWNER",
        "authorized_official_telephone_number": "858-869-9234",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.