PEDRO CARRILLO MD
NPI 1154330504
Family Medicine in Tustin, CA
About Pedro Carrillo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEDRO CARRILLO MD (NPI 1154330504) is an individual family medicine provider in Tustin, California, licensed in California (G55750) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pedro Carrillo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Pedro Carrillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tustin, CA 92780
- Reassigned Medicare billing, California enrollment
- 86 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92780 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.
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 Pedro Carrillo's NPI number?
The NPI number for Pedro Carrillo is 1154330504. It was assigned to this individual provider in the NPPES registry on August 5, 2006.
Where is Pedro Carrillo located?
Pedro Carrillo practices at 661 W 1st St Ste G, Tustin, CA 92780. The listed phone number is (714) 665-9890.
What is Pedro Carrillo's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Pedro Carrillo enrolled in Medicare?
Yes. Pedro Carrillo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Pedro Carrillo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Pedro Carrillo reassigns Medicare benefits to Families Together Of Orange County (Tustin, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pedro Carrillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Pedro Carrillo was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Pedro Carrillo, MD · NPI 1154330504
Family Medicine physician in Tustin, California. Individual provider, active in the CMS NPPES registry since August 5, 2006.
## Identity
- **NPI:** 1154330504 (Entity type: Individual)
- **Enumerated:** August 5, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** G55750 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 661 W 1ST ST STE G, Tustin, CA 92780-2939
- **Phone:** (714) 665-9890
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Families Together Of Orange County (NPI 1194122457, Tustin, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1154330504) · Data from the CMS NPPES public registry.