CARRILLO MEDICAL GROUP PROFESSIONAL CORPORATION
NPI 1730223421
Family Medicine in Daly City, CA

NPI Status: Active since February 16, 2007

Contact Information

1800 SULLIVAN AVE RM 101
DALY CITY, CA
ZIP 94015
Phone: (650) 994-0459

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  • Organization
  • Family Medicine

About CARRILLO MEDICAL GROUP PROFESSIONAL CORPORATION

This page provides the complete NPI Profile along with additional information for Carrillo Medical Group Professional Corporation, a primary care provider established in Daly City, California operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1730223421 assigned on February 2007. The practitioner's primary taxonomy code is 207Q00000X with license number A51743 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Ines Sjogrell (Manager)

NPI
1730223421
Provider Name
CARRILLO MEDICAL GROUP PROFESSIONAL CORPORATION
Entity Type
Organization
Location Address
1800 SULLIVAN AVE RM 101 DALY CITY, CA 94015
Location Phone
(650) 994-0459
Mailing Address
1800 SULLIVAN AVE RM 101 DALY CITY, CA 94015
Mailing Phone
(650) 994-0459
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-16-2007
Last Update Date
09-15-2015
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A primary care provider (PCP) like Carrillo Medical Group Professional Corporation sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
A51743
License State
CA
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. INES SJOGRELL

Authorized Official Title
MANAGER
Authorized Official Phone
(925) 790-0760

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
ZZZ02763ZMEDICARE PIN (08) 
00A517430MEDICAID (05)CA 
F83367MEDICARE UPIN (02)CA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1730223421
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
276042644
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 4 + 2 + 6 + 4 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1730223421 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

PEDRO L. CAJATOR MD PROFESSIONAL CORPORATION

Family Medicine

1800 SULLIVAN AVE RM 101
DALY CITY, CA
ZIP 94015

(650) 994-0459

LORNALYN DE JESUS CARRILLO M.D.

Family Medicine

1800 SULLIVAN AVE RM 101
DALY CITY, CA
ZIP 94015

(650) 994-0459

CONNIE YI QING TAN NP

Nurse Practitioner

(Family)

1800 SULLIVAN AVE RM 101
DALY CITY, CA
ZIP 94015

(650) 994-0459

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730223421, enumerated in the NPI registry as an "organization" on February 16, 2007

The provider is located at 1800 Sullivan Ave Rm 101 Daly City, Ca 94015 and the phone number is (650) 994-0459

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 16, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.