CARRILLO MEDICAL GROUP PROFESSIONAL CORPORATION
NPI 1730223421
Family Medicine in Daly City, CA
About Carrillo Medical Group Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARRILLO MEDICAL GROUP PROFESSIONAL CORPORATION (NPI 1730223421) is a healthcare organization registered as a family medicine in Daly City, California and active in the NPI registry since February 2007. The organization lists Ines Sjogrell, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carrillo Medical Group Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Carrillo Medical Group Professional Corporation, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Carrillo Medical Group Professional Corporation's NPI number?
The NPI number for Carrillo Medical Group Professional Corporation is 1730223421. It was assigned to this organization in the NPPES registry on February 16, 2007.
Where is Carrillo Medical Group Professional Corporation located?
Carrillo Medical Group Professional Corporation is located at 1800 Sullivan Ave Rm 101, Daly City, CA 94015. The listed phone number is (650) 994-0459.
What is Carrillo Medical Group Professional Corporation's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Carrillo Medical Group Professional Corporation enrolled in Medicare?
Yes. Carrillo Medical Group Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Carrillo Medical Group Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Carrillo Medical Group Professional Corporation, in Family Practice, Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Carrillo Medical Group Professional Corporation was last updated on September 15, 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.
# Carrillo Medical Group Professional Corporation · NPI 1730223421
Family Medicine organization in Daly City, California. Organization record, active in the CMS NPPES registry since February 16, 2007.
## Identity
- **NPI:** 1730223421 (Entity type: Organization)
- **Enumerated:** February 16, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Ines Sjogrell, MANAGER
## Practice location
- **Address:** 1800 SULLIVAN AVE RM 101, Daly City, CA 94015-2227
- **Phone:** (650) 994-0459
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Internal Medicine (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 15, 2015
- **Other identifiers:** Medicare PIN ZZZ02763Z; Medicaid 00A517430 (CA); Medicare UPIN F83367 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1730223421) · Data from the CMS NPPES public registry.