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JOSE LUIS CARRILLO SUDRC
NPI 1669213393
Counselor - Addiction (Substance Use Disorder) in Hayward, CA

Active since June 05, 2024
2575 DEPOT RD, HAYWARD, CA 94545(510) 784-5874 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jose Luis Carrillo Sudrc NPPES

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

JOSE LUIS CARRILLO SUDRC (NPI 1669213393) is an individual addiction (substance use disorder) provider in Hayward, California, licensed in California (15971) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1669213393
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJOSE LUIS CARRILLOCredential: SUDRC
Location Address2575 DEPOT RDHayward, CA 94545-2341
Mailing Address2575 Depot RdHayward, CA 94545-2341 · (510) 784-5874
Phone(510) 784-5874
Sole ProprietorNo
Enumeration DateJune 5, 2024
NPPES CertifiedJune 5, 2024
✔ NPI 1669213393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 15971
2575 DEPOT RD, Hayward, CA 94545
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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.

TREON SIMON
Counselor (Addiction (Substance Use Disorder))
2575 DEPOT RD
HAYWARD, CA 94545
Alameda County (510) 784-5874
MRS. KHALIUN NGUYEN
Counselor (Addiction (Substance Use Disorder))
2575 DEPOT RD
HAYWARD, CA 94545
Alameda County (510) 784-5874
MS. GENIE MARIE FRANKLIN SUD
Counselor (Addiction (Substance Use Disorder))
2575 DEPOT RD
HAYWARD, CA 94545
Alameda County (510) 784-5874
AUSTIN O'CONNOR
Counselor
2575 DEPOT RD
HAYWARD, CA 94545
Alameda County (510) 784-5874
CRYSTAL CHANDRA
Counselor (Addiction (Substance Use Disorder))
2575 DEPOT RD
HAYWARD, CA 94545
Alameda County (510) 784-5874
MR. LEONARD M FLYNN SUDRC
Counselor (Addiction (Substance Use Disorder))
2575 DEPOT RD
HAYWARD, CA 94545
Alameda County (510) 784-5874
MR. ARLON L STRAUSS
Counselor (Addiction (Substance Use Disorder))
2575 DEPOT RD
HAYWARD, CA 94545
Alameda County (510) 784-5874
MR. CHRISTOPHER FLORES
Counselor (Addiction (Substance Use Disorder))
2575 DEPOT RD
HAYWARD, CA 94545
Alameda County (510) 784-5874

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 Jose Carrillo's NPI number?

The NPI number for Jose Carrillo is 1669213393. It was assigned to this individual provider in the NPPES registry on June 5, 2024.

Where is Jose Carrillo located?

Jose Carrillo practices at 2575 Depot Rd, Hayward, CA 94545. The listed phone number is (510) 784-5874.

What is Jose Carrillo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jose Carrillo was last updated on June 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.