ANNA CARRILLO, M.D., A MEDICAL CORPORATION
NPI 1225054927
Clinic/Center - Mental Health (Including Community Mental Health Center) in San Diego, CA

Active since July 14, 2006
11665 AVENA PL STE 204, SAN DIEGO, CA 92128(858) 848-4028(858) 381-9769 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Anna Carrillo, M.d., A Medical Corporation NPPES

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

ANNA CARRILLO, M.D., A MEDICAL CORPORATION (NPI 1225054927) is a healthcare organization registered as a mental health (including community mental health center) in San Diego, California and active in the NPI registry since July 2006. The organization lists Anna Carrillo, President, as its authorized official.

NPPES Registry Identity

NPI1225054927
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameANNA CARRILLO, M.D., A MEDICAL CORPORATION
Location Address11665 AVENA PL STE 204San Diego, CA 92128-2428
Mailing AddressPo Box 500226San Diego, CA 92150-0226 · (858) 848-4028 · Fax (858) 381-9769
Fax(858) 381-9769
Organization SubpartNo
Authorized OfficialAnna CarrilloPresident · (858) 848-4028
Enumeration DateJuly 14, 2006
Last NPPES UpdateApril 1, 20252 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
NPI 1225054927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedPublic Health or WelfareTaxonomy 251K00000X · License A62084 (CA)
11665 AVENA PL STE 204, San Diego, CA 92128

Other Identifiers 1

MedicaidA62084CA

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.

Behavior Analyst
11665 AVENA PL STE 204
SAN DIEGO, CA 92128
Behavior Technician
11665 AVENA PL STE 204
SAN DIEGO, CA 92128
Behavior Technician
11665 AVENA PL STE 204
SAN DIEGO, CA 92128
Behavior Technician
11665 AVENA PL STE 204
SAN DIEGO, CA 92128
Behavior Technician
11665 AVENA PL STE 204
SAN DIEGO, CA 92128
Behavior Analyst
11665 AVENA PL STE 204
SAN DIEGO, CA 92128
Behavior Analyst
11665 AVENA PL STE 204
SAN DIEGO, CA 92128
Behavior Technician
11665 AVENA PL STE 204
SAN DIEGO, CA 92128

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 Anna Carrillo, M.D., A Medical Corporation's NPI number?

The NPI number for Anna Carrillo, M.D., A Medical Corporation is 1225054927. It was assigned to this organization in the NPPES registry on July 14, 2006.

Where is Anna Carrillo, M.D., A Medical Corporation located?

Anna Carrillo, M.D., A Medical Corporation is located at 11665 Avena Pl Ste 204, San Diego, CA 92128. The listed phone number is (858) 848-4028.

What is Anna Carrillo, M.D., A Medical Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Anna Carrillo, M.D., A Medical Corporation was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.