Dillon Patrick Carrasco O'Connell

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

15671 Issued in CA

Practice address

1261 Travis Blvd Ste 200
Fairfield, CA 94533-4800

Phone

(619) 964-0044

NPI assigned

Jul 20, 2021

Sex

Male

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

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1962075713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 MOORE BLVD APT 112",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956187636",
            "telephone_number": "619-964-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 TRAVIS BLVD STE 200",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334800",
            "telephone_number": "619-964-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASCO O'CONNELL",
        "first_name": "DILLON",
        "middle_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "15671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Lynn Carey
• Caring Hands at Home Services
• Colleen Carlos
• Cheryl Carlson, LMFT
• Sierra Carr
• Myra Carreon
• Gabriela Carrico, DNP, FNP
• Faterah Richelle Carrington
• Carrizosa and Macmorran, a Medical Corporation
• Lauren Carrizosa, NP

• Speech-Language Pathologist in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.