KEITH CARRILLO NP
NPI 1265098784
Nurse Practitioner - Family in Compton, CA
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Keith Carrillo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90059
- Reassigned Medicare billing, California enrollment
- 435 clinicians in this Medicare group
La Habra, CA 90631
- Reassigned Medicare billing, California enrollment
- 4 clinicians in this Medicare group
Calabasas, CA 91302
- Reassigned Medicare billing, California enrollment
- 256 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.
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.
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.
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.
Which organizations bill Medicare for Keith Carrillo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keith Carrillo reassigns Medicare benefits to 3 organizations: County Of Los Angeles (Los Angeles, CA), Regenerative Wound Solutions A Professional Corporation (La Habra, CA) and Exer Medical Corporation (Calabasas, CA). Each 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 Keith 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 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.
# Keith Carrillo, NP · NPI 1265098784
Family physician in Compton, California. Individual provider, active in the CMS NPPES registry since May 10, 2019.
## Identity
- **NPI:** 1265098784 (Entity type: Individual)
- **Enumerated:** May 10, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95011765 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 920 N LONG BEACH BLVD # 2259, Compton, CA 90221-2260
- **Phone:** (323) 732-0100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): County Of Los Angeles (NPI 1780877613, Los Angeles, CA); Regenerative Wound Solutions A Professional Corporation (NPI 1225902349, La Habra, CA); Exer Medical Corporation (NPI 1588901532, Calabasas, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1265098784) · Data from the CMS NPPES public registry.