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TIMOTHY JOSEPH CARRILLO RAS-C1106011523
NPI 1134472897
Counselor - Addiction (Substance Use Disorder) in Vista, CA

Active since October 18, 2012
504 W VISTA WAY, VISTA, CA 92083(760) 940-1836(760) 940-1274 Get Directions Write a Review

NPPES record last updated: October 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Joseph Carrillo Ras-c1106011523 NPPES

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

TIMOTHY JOSEPH CARRILLO RAS-C1106011523 (NPI 1134472897) is an individual addiction (substance use disorder) provider in Vista, California, licensed in California (C1106011523) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1134472897
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTIMOTHY JOSEPH CARRILLOCredential: RAS-C1106011523
Location Address504 W VISTA WAYVista, CA 92083-5704
Mailing Address504 W Vista WayVista, CA 92083-5704 · (760) 940-1836 · Fax (760) 940-1274
Phone(760) 940-1836
Fax(760) 940-1274
Sole ProprietorYes
Enumeration DateOctober 18, 2012
✔ NPI 1134472897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · C1106011523
504 W VISTA WAY, Vista, CA 92083
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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.

ALEJANDRA LOPEZ LCSW
Social Worker (Clinical)
504 W VISTA WAY
VISTA, CA 92083
San Diego County (760) 227-1400
DALE ARTHUR KARPINEN
Counselor (Addiction (Substance Use Disorder))
504 W VISTA WAY
VISTA, CA 92083
San Diego County (760) 940-1836
GILBERT J GALLARDO
Peer Specialist
504 W VISTA WAY
VISTA, CA 92083
San Diego County (760) 940-1836
MR. GREGORY NEIL MOFFETT
Counselor (Addiction (Substance Use Disorder))
504 W VISTA WAY
VISTA, CA 92083
San Diego County (760) 940-1836
SUZIE FLEDDERJOHN CADCA
Counselor (Addiction (Substance Use Disorder))
504 W VISTA WAY
VISTA, CA 92083
San Diego County (760) 940-1836
VENITA KATHLEEN IBARRA RADT1
Counselor (Addiction (Substance Use Disorder))
504 W VISTA WAY
VISTA, CA 92083
San Diego County (760) 940-1836
AMY CHAPMAN
Counselor (Addiction (Substance Use Disorder))
504 W VISTA WAY
VISTA, CA 92083
San Diego County (916) 940-1274
IRAM H MORENO-MONTELONGO
Counselor (Addiction (Substance Use Disorder))
504 W VISTA WAY
VISTA, CA 92083
San Diego County (760) 940-1836

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 Timothy Carrillo's NPI number?

The NPI number for Timothy Carrillo is 1134472897. It was assigned to this individual provider in the NPPES registry on October 18, 2012.

Where is Timothy Carrillo located?

Timothy Carrillo practices at 504 W Vista Way, Vista, CA 92083. The listed phone number is (760) 940-1836.

What is Timothy Carrillo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Timothy Carrillo was last updated on October 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.