DR. JUAN C CARRILLO M.D.
NPI 1124048301
Pediatrics in San Jose, CA

Q: What is Juan Carrillo's NPI number?

The NPI number for Juan Carrillo is 1124048301. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Q: What is Juan Carrillo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Juan Carrillo was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 20, 2006PECOS Enrolled

2880 STORY RD, SAN JOSE, CA 95127(408) 929-5439(408) 929-5010 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Juan C Carrillo M.d. NPPES

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

DR. JUAN C CARRILLO M.D. (NPI 1124048301) is an individual pediatrics provider in San Jose, California, licensed in California (G57429) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124048301

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. JUAN C CARRILLOCredential: M.D.

Location Address2880 STORY RDSan Jose, CA 95127-3942

Mailing Address2880 Story RdSan Jose, CA 95127 · (408) 929-5439 · Fax (408) 929-5010

Phone(408) 929-5439

Fax(408) 929-5010

Sole ProprietorYes

Enumeration DateJuly 20, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1124048301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · G57429

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2880 STORY RD, San Jose, CA 95127

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Other Identifiers 2

Other00G574290CA · Medical Provider #

Medicare UPINE02811CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Juan C Carrillo M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95127 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

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

Most-billed visit code 99214

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 9

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

KATHLEEN HENRY P.A.

Physician Assistant

2880 STORY RD, SUITE 10
SAN JOSE, CA 95127

Santa Clara County (408) 729-9700

PRECIOSA CASTILLEJO NP

Nurse Practitioner (Family)

2880 STORY RD
SAN JOSE, CA 95127

Santa Clara County (408) 729-9700

SAN JOSE FOOTHILL FAMILY COMMUNITY CLINIC, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

2880 STORY RD, SUITE 10
SAN JOSE, CA 95127

Santa Clara County (408) 729-9700

TRINH T NGUYEN R.N., P.H.N

Nurse Practitioner (Family)

2880 STORY RD
SAN JOSE, CA 95127

Santa Clara County (408) 605-6158

MONICA TAN DAWLEY FNP-C

Nurse Practitioner (Family)

2880 STORY RD
SAN JOSE, CA 95127

Santa Clara County (408) 729-9700

HUI BETTENCOURT PA

Physician Assistant

2880 STORY RD, SUITE 10
SAN JOSE, CA 95127

Santa Clara County (408) 729-9700

DR. ANGELICA MENDOZA RUIZ M.D.

Pediatrics

2880 STORY RD, SUITE A
SAN JOSE, CA 95127

Santa Clara County (408) 929-5439

ANN NIMESGERN

Physician Assistant

2880 STORY RD
SAN JOSE, CA 95127

Santa Clara County (408) 755-3920

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 Juan Carrillo's NPI number?

The NPI number for Juan Carrillo is 1124048301. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Juan Carrillo located?

Juan Carrillo practices at 2880 Story Rd, San Jose, CA 95127. The listed phone number is (408) 929-5439.

What is Juan Carrillo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Juan Carrillo enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Juan Carrillo was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.