JAZMIN CARRILLO SUDRC
NPI 1679373781
Counselor - Addiction (Substance Use Disorder) in Hayward, CA

Active since March 17, 2025
1580 CHABOT CT, HAYWARD, CA 94545(510) 783-8708 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jazmin Carrillo Sudrc NPPES

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

JAZMIN CARRILLO SUDRC (NPI 1679373781) is an individual addiction (substance use disorder) provider in Hayward, California, licensed in California (20960) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1679373781
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJAZMIN CARRILLOCredential: SUDRC
Location Address1580 CHABOT CTHayward, CA 94545-2423
Mailing Address25928 Eldridge AveHayward, CA 94544-2650 · (510) 342-6858
Sole ProprietorYes
Enumeration DateMarch 17, 2025
NPPES CertifiedMarch 17, 2025
NPI 1679373781 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 · 20960
1580 CHABOT CT, Hayward, CA 94545

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Counselor (Addiction (Substance Use Disorder))
1580 CHABOT CT
HAYWARD, CA 94545

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 Jazmin Carrillo's NPI number?

The NPI number for Jazmin Carrillo is 1679373781. It was assigned to this individual provider in the NPPES registry on March 17, 2025.

Where is Jazmin Carrillo located?

Jazmin Carrillo practices at 1580 Chabot Ct, Hayward, CA 94545. The listed phone number is (510) 783-8708.

What is Jazmin 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 Jazmin Carrillo was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.