Francisco Angleszane Carrillo

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

14112 S Kingsley Dr
Gardena, CA 90249-3018

Phone

(310) 217-7312

Fax

(310) 352-3111

NPI assigned

May 26, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• The Help Group Child and Family Center

  • Community/Behavioral Health Agency
  • Inglewood, CA
  • NPI 1205207743
  NPD (past)

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1962930545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3761 STOCKER ST STE 106",
            "city": "VIEW PARK",
            "state": "CA",
            "postal_code": "900085129",
            "telephone_number": "213-291-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14112 S KINGSLEY DR",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902493018",
            "telephone_number": "310-217-7312",
            "fax_number": "310-352-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "FRANCISCO",
        "middle_name": "ANGLESZANE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-26",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225400000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tatiana Nicole Carr
• Melissa Guadalupe Carranza
• Aracely Carrasco, LCSW
• Brian J Carrillo
• Denise Carrillo
• Hannah Carrillo
• Jazlyn Carrillo
• Jessibelle Paola Carrillo
• Stephanie Carrillo
• Emonie Carter-Hale

• Case Manager/Care Coordinator in Gardena, CA
• Providers in Gardena, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.