KEITH CARRILLO NP
NPI 1265098784
Nurse Practitioner - Family in Compton, CA

Q: What is Keith Carrillo's NPI number?

The NPI number for Keith Carrillo is 1265098784. It was assigned to this individual provider in the NPPES registry on May 10, 2019.

Q: What is Keith Carrillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Keith Carrillo was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 10, 2019PECOS EnrolledAccepts Medicare Assignment

920 N LONG BEACH BLVD # 2259, COMPTON, CA 90221(323) 732-0100 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 30, 2021, Dec 8, 2020, Nov 25, 2019 and 2 more (5 updates tracked since 2019).

On this page

About Keith Carrillo Np NPPES

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

KEITH CARRILLO NP (NPI 1265098784) is an individual family provider in Compton, California, licensed in California (95011765) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1265098784

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameKEITH CARRILLOCredential: NP

Location Address920 N LONG BEACH BLVD # 2259Compton, CA 90221-2260

Mailing Address920 N Long Beach Blvd # 2259Compton, CA 90221-2260 · (323) 732-0100

Phone(323) 732-0100

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMay 10, 2019

Last NPPES UpdateJune 30, 20215 updates tracked since enumeration

NPPES CertifiedJune 30, 2021

✔ NPI 1265098784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95011765

920 N LONG BEACH BLVD # 2259, Compton, CA 90221

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Secondary Practice Location 1

Location 1450 Bauchet StLos Angeles, CA 90012-2907 · Phone (213) 893-5558

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

Keith Carrillo Np 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.

PECOS PAC ID1355873340

PECOS Enrollment IDI20241015003998

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90221 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

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 Keith Carrillo's NPI number?

The NPI number for Keith Carrillo is 1265098784. It was assigned to this individual provider in the NPPES registry on May 10, 2019.

Where is Keith Carrillo located?

Keith Carrillo practices at 920 N Long Beach Blvd # 2259, Compton, CA 90221. The listed phone number is (323) 732-0100.

What is Keith Carrillo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Keith Carrillo enrolled in Medicare?

Yes. Keith 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 Keith Carrillo was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.