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MR. BERNARDO JOSE CARRILLO P.A.
NPI 1063518611
Physician Assistant - Medical in Huntington Park, CA

Active since September 14, 2006PECOS Enrolled
2975 ZOE AVE, HUNTINGTON PARK, CA 90255(322) 826-9449(323) 582-8500 Get Directions Write a Review

NPPES record last updated: November 6, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Bernardo Jose Carrillo P.a. NPPES

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

MR. BERNARDO JOSE CARRILLO P.A. (NPI 1063518611) is an individual medical provider in Huntington Park, California, licensed in California (PA14716) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063518611
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. BERNARDO JOSE CARRILLOCredential: P.A.
Location Address2975 ZOE AVEHuntington Park, CA 90255
Mailing AddressPo Box 2203Downey, CA 90242-0203 · (562) 923-2502
Phone(322) 826-9449
Fax(323) 582-8500
Sole ProprietorNo
Enumeration DateSeptember 14, 2006
Last NPPES UpdateNovember 6, 2017
✔ NPI 1063518611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA14716
2975 ZOE AVE, Huntington Park, CA 90255
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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 (PECOS)

Mr. Bernardo Jose Carrillo P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 4

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

DR. JONINA CAPINO
Dentist
2975 ZOE AVE
HUNTINGTON PARK, CA 90255
Los Angeles County (323) 826-9449
EMILY WANG PA-C
Physician Assistant (Medical)
2975 ZOE AVE
HUNTINGTON PARK, CA 90255
Los Angeles County (323) 826-9449
NORTHEAST COMMUNITY CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
2975 ZOE AVE
HUNTINGTON PARK, CA 90255
Los Angeles County (323) 771-8400
DR. LESLEY VANESSA CARRILLO DMD
Dentist (General Practice)
2975 ZOE AVE
HUNTINGTON PARK, CA 90255
Los Angeles County (323) 826-9449

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 Bernardo Carrillo's NPI number?

The NPI number for Bernardo Carrillo is 1063518611. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Bernardo Carrillo located?

Bernardo Carrillo practices at 2975 Zoe Ave, Huntington Park, CA 90255. The listed phone number is (322) 826-9449.

What is Bernardo Carrillo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Bernardo Carrillo enrolled in Medicare?

Yes. Bernardo Carrillo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bernardo Carrillo was last updated on November 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.