CARRIE M CARRILLO PA
NPI 1588872089
Physician Assistant - Surgical in Fullerton, CA

Active since May 18, 2007PECOS EnrolledAccepts Medicare Assignment
2141 N HARBOR BLVD STE 35000, FULLERTON, CA 92835(714) 626-8630 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 20, 2021, Oct 19, 2020, May 22, 2020 (3 updates tracked since 2020).

About Carrie M Carrillo Pa NPPES

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

CARRIE M CARRILLO PA (NPI 1588872089) is an individual surgical provider in Fullerton, California, licensed in California (PA17561) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1588872089
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameCARRIE M CARRILLOCredential: PA
Location Address2141 N HARBOR BLVD STE 35000Fullerton, CA 92835-3831
Mailing Address2141 N Harbor Blvd Ste 35000Fullerton, CA 92835-3831 · (714) 626-8630
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 18, 2007
Last NPPES UpdateOctober 20, 20213 updates tracked since enumeration
NPPES CertifiedOctober 20, 2021
✔ NPI 1588872089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CA · PA17561
2141 N HARBOR BLVD STE 35000, Fullerton, CA 92835

Other Identifiers 1

OtherPA17561CA · License

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

Carrie M Carrillo Pa 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 ID4789604596
PECOS Enrollment IDI20051122000801
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 6

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
561 services102 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
150 services104 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
148 services128 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
28 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
11 services11 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier25 claims25 services$56.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Surgical)
2141 N HARBOR BLVD STE 35000
FULLERTON, CA 92835
Registered Nurse
2141 N HARBOR BLVD STE 35000
FULLERTON, CA 92835
Nurse Practitioner
2141 N HARBOR BLVD STE 35000
FULLERTON, CA 92835
Orthopaedic Surgery
2141 N HARBOR BLVD STE 35000
FULLERTON, CA 92835
Physician Assistant (Surgical)
2141 N HARBOR BLVD STE 35000
FULLERTON, CA 92835
Internal Medicine (Sports Medicine)
2141 N HARBOR BLVD STE 35000
FULLERTON, CA 92835
Orthopaedic Surgery
2141 N HARBOR BLVD STE 35000
FULLERTON, CA 92835
Physician Assistant (Medical)
2141 N HARBOR BLVD STE 35000
FULLERTON, CA 92835

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 Carrie Carrillo's NPI number?

The NPI number for Carrie Carrillo is 1588872089. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Carrie Carrillo located?

Carrie Carrillo practices at 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835. The listed phone number is (714) 626-8630.

What is Carrie Carrillo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Carrie Carrillo enrolled in Medicare?

Yes. Carrie 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 Carrie Carrillo was last updated on October 20, 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.