NIKA CARRILLO
NPI 1508390618
Student in an Organized Health Care Education/Training Program in San Leandro, CA
About Nika Carrillo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIKA CARRILLO (NPI 1508390618) is an individual student in an organized health care education/training program in San Leandro, California and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
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
Nika Carrillo 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.
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 Nika Carrillo's NPI number?
The NPI number for Nika Carrillo is 1508390618. It was assigned to this individual provider in the NPPES registry on April 14, 2017.
Where is Nika Carrillo located?
Nika Carrillo practices at 2500 Merced St, San Leandro, CA 94577. The listed phone number is (510) 454-2000.
What is Nika Carrillo's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Nika Carrillo enrolled in Medicare?
Yes. Nika 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 Nika Carrillo was last updated on February 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Nika Carrillo · NPI 1508390618
Student in an Organized Health Care Education/Training Program provider in San Leandro, California. Individual provider, active in the CMS NPPES registry since April 14, 2017.
## Identity
- **NPI:** 1508390618 (Entity type: Individual)
- **Enumerated:** April 14, 2017
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2500 MERCED ST, San Leandro, CA 94577-4201
- **Phone:** (510) 454-2000
## 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:** University Of California, Davis School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** February 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1508390618) · Data from the CMS NPPES public registry.