Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

LUIS RENE CARRILLO DNP, RN
NPI 1104703297
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since August 19, 2025
11301 WILSHIRE BLVD BLDG 402, LOS ANGELES, CA 90073(310) 268-3566 Get Directions Write a Review

NPPES record last updated: July 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Luis Rene Carrillo Dnp, Rn NPPES

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

LUIS RENE CARRILLO DNP, RN (NPI 1104703297) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95040447) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1104703297
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameLUIS RENE CARRILLOCredential: DNP, RN
Location Address11301 WILSHIRE BLVD BLDG 402Los Angeles, CA 90073-1003
Mailing Address11301 Wilshire Blvd Bldg 402Los Angeles, CA 90073-1003
Sole ProprietorNo
Enumeration DateAugust 19, 2025
Last NPPES UpdateJuly 11, 2026
NPPES CertifiedJuly 11, 2026
NPI 1104703297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95040447
11301 WILSHIRE BLVD BLDG 402, Los Angeles, CA 90073

Other Providers at the Same Location NPPES 15

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

Social Worker (Clinical)
11301 WILSHIRE BLVD BLDG 402
LOS ANGELES, CA 90073
Nurse Practitioner (Family)
11301 WILSHIRE BLVD BLDG 402
LOS ANGELES, CA 90073
Nurse Practitioner (Family)
11301 WILSHIRE BLVD BLDG 402
LOS ANGELES, CA 90073
Psychologist (Counseling)
11301 WILSHIRE BLVD BLDG 402, VA GREATER LOS ANGELES HEALTHER CARE SYSTEM
LOS ANGELES, CA 90073
Nurse Practitioner (Primary Care)
11301 WILSHIRE BLVD BLDG 402
LOS ANGELES, CA 90073
Nurse Practitioner
11301 WILSHIRE BLVD BLDG 402
LOS ANGELES, CA 90073
Nurse Practitioner (Primary Care)
11301 WILSHIRE BLVD BLDG 402
LOS ANGELES, CA 90073
Nurse Practitioner (Psychiatric/Mental Health)
11301 WILSHIRE BLVD BLDG 402
LOS ANGELES, CA 90073

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 Luis Carrillo's NPI number?

The NPI number for Luis Carrillo is 1104703297. It was assigned to this individual provider in the NPPES registry on August 19, 2025.

Where is Luis Carrillo located?

Luis Carrillo practices at 11301 Wilshire Blvd Bldg 402, Los Angeles, CA 90073. The listed phone number is (310) 268-3566.

What is Luis Carrillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Luis Carrillo was last updated on July 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.