KEONNIE PARRILLA
NPI 1053013912
Student in an Organized Health Care Education/Training Program in San Francisco, CA
About Keonnie Parrilla NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEONNIE PARRILLA (NPI 1053013912) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Keonnie Parrilla is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
SAN FRANCISCO, CA 94110
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 Keonnie Parrilla's NPI number?
The NPI number for Keonnie Parrilla is 1053013912. It was assigned to this individual provider in the NPPES registry on March 21, 2023.
Where is Keonnie Parrilla located?
Keonnie Parrilla practices at 1001 Potrero Ave Bldg 80-83, San Francisco, CA 94110. The listed phone number is (628) 206-5252.
What is Keonnie Parrilla's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Keonnie Parrilla enrolled in Medicare?
Yes. Keonnie Parrilla is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Keonnie Parrilla was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Keonnie Parrilla · NPI 1053013912
Student in an Organized Health Care Education/Training Program provider in San Francisco, California. Individual provider, active in the CMS NPPES registry since March 21, 2023.
## Identity
- **NPI:** 1053013912 (Entity type: Individual)
- **Enumerated:** March 21, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1001 POTRERO AVE BLDG 80-83, San Francisco, CA 94110-3518
- **Phone:** (628) 206-5252
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1053013912) · Data from the CMS NPPES public registry.