1. Home
  2. Directory
  3. California
  4. San Rafael
  5. Durable Medical Equipment Medical Supplies
  6. NPI Profile

CARLOS CARRILLO
NPI 1528449139
Durable Medical Equipment & Medical Supplies in San Rafael, CA

Active since June 10, 2015
111 CORTE MESA AVE, SAN RAFAEL, CA 94901(415) 879-2525 Get Directions Write a Review

NPPES record last updated: June 10, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Carlos Carrillo NPPES

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

CARLOS CARRILLO (NPI 1528449139) is an individual durable medical equipment & medical supplies provider in San Rafael, California, licensed in California (SRJH102516761) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1528449139
Entity TypeIndividualMale
Primary Taxonomy332B00000X
Provider Legal NameCARLOS CARRILLO
Location Address111 CORTE MESA AVESan Rafael, CA 94901-1303
Mailing Address111 Corte Mesa AveSan Rafael, CA 94901-1303 · (415) 879-2525
Phone(415) 879-2525
Sole ProprietorYes
Enumeration DateJune 10, 2015
✔ NPI 1528449139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in CA · SRJH102516761
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
111 CORTE MESA AVE, San Rafael, CA 94901
Open in Google Maps ↗

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 Carlos Carrillo's NPI number?

The NPI number for Carlos Carrillo is 1528449139. It was assigned to this individual provider in the NPPES registry on June 10, 2015.

Where is Carlos Carrillo located?

Carlos Carrillo practices at 111 Corte Mesa Ave, San Rafael, CA 94901. The listed phone number is (415) 879-2525.

What is Carlos Carrillo's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Carlos Carrillo was last updated on June 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.