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REBECCA CARRILLO M.D.
NPI 1003088428
Psychiatry & Neurology - Psychiatry in San Andreas, CA

Active since March 26, 2008PECOS EnrolledAccepts Medicare Assignment
704 MOUNTAIN RANCH RD STE 103, SAN ANDREAS, CA 95249(209) 754-6525 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rebecca Carrillo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBECCA CARRILLO M.D. (NPI 1003088428) is an individual psychiatry provider in San Andreas, California, licensed in California (A115409) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2008).

NPPES Registry Identity

NPI1003088428
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameREBECCA CARRILLOCredential: M.D.
Location Address704 MOUNTAIN RANCH RD STE 103San Andreas, CA 95249-8903
Mailing Address2640 Martin Luther King Jr WayBerkeley, CA 94704-3238 · (510) 981-5290 · Fax (510) 981-5265
Phone(209) 754-6525
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2008
Enumeration DateMarch 26, 2008
Last NPPES UpdateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
✔ NPI 1003088428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A115409
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
704 MOUNTAIN RANCH RD STE 103, San Andreas, CA 95249
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rebecca Carrillo M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234379108
PECOS Enrollment IDI20130717000654
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95249 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$176.60 typical visit price
range $58.87 – $176.60
Typical copayment $44.15 (range $14.71 – $44.15)
Most-billed visit code 99205
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEIDI V MITCHEM
Marriage & Family Therapist
704 MOUNTAIN RANCH RD STE 103
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6525
SUSAN LEE MORGAN-YOUNT ACSW
Social Worker (Clinical)
704 MOUNTAIN RANCH RD STE 103
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6837

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebecca Carrillo's NPI number?

The NPI number for Rebecca Carrillo is 1003088428. It was assigned to this individual provider in the NPPES registry on March 26, 2008.

Where is Rebecca Carrillo located?

Rebecca Carrillo practices at 704 Mountain Ranch Rd Ste 103, San Andreas, CA 95249. The listed phone number is (209) 754-6525.

What is Rebecca Carrillo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Rebecca Carrillo enrolled in Medicare?

Yes. Rebecca Carrillo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Rebecca Carrillo was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.