KAVISHA NAYOMALY CARRILLO PA
NPI 1144864240
Physician Assistant in Los Angeles, CA
About Kavisha Nayomaly Carrillo Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAVISHA NAYOMALY CARRILLO PA (NPI 1144864240) is an individual physician assistant in Los Angeles, California, licensed in California (59390) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kavisha Nayomaly Carrillo Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
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 Kavisha Carrillo's NPI number?
The NPI number for Kavisha Carrillo is 1144864240. It was assigned to this individual provider in the NPPES registry on October 31, 2019. The provider is also known as Kavisha Nayomaly Abeyasekera.
Where is Kavisha Carrillo located?
Kavisha Carrillo practices at 1510 San Pablo St, Los Angeles, CA 90033. The listed phone number is (626) 457-6601.
What is Kavisha Carrillo's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kavisha Carrillo enrolled in Medicare?
Yes. Kavisha Carrillo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Kavisha Carrillo was last updated on October 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Kavisha Nayomaly Carrillo, PA · NPI 1144864240
Physician Assistant physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since October 31, 2019.
## Identity
- **NPI:** 1144864240 (Entity type: Individual)
- **Enumerated:** October 31, 2019
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 59390 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1510 SAN PABLO ST, Los Angeles, CA 90033-5320
- **Phone:** (626) 457-6601
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1144864240) · Data from the CMS NPPES public registry.