JULISSA LEONIDES CARABALLO NP
NPI 1730714007
Nurse Practitioner - Adult Health in San Diego, CA

Q: What is Julissa Caraballo's NPI number?

The NPI number for Julissa Caraballo is 1730714007. It was assigned to this individual provider in the NPPES registry on March 7, 2020.

Q: What is Julissa Caraballo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Julissa Caraballo was last updated on March 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since March 07, 2020

4044 PROMONTORY ST, SAN DIEGO, CA 92109(917) 757-2230 Get Directions Write a Review

NPPES record last updated: March 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Julissa Leonides Caraballo Np NPPES

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

JULISSA LEONIDES CARABALLO NP (NPI 1730714007) is an individual adult health provider in San Diego, California, licensed in California (95005201) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1730714007

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameJULISSA LEONIDES CARABALLOCredential: NP

Location Address4044 PROMONTORY STSan Diego, CA 92109-5334

Mailing Address4044 Promontory StSan Diego, CA 92109-5334 · (917) 757-2230

Phone(917) 757-2230

Sole ProprietorYes

Enumeration DateMarch 7, 2020

NPPES CertifiedMarch 7, 2020

✔ NPI 1730714007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in CA · 95005201

4044 PROMONTORY ST, San Diego, CA 92109

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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 Julissa Caraballo's NPI number?

The NPI number for Julissa Caraballo is 1730714007. It was assigned to this individual provider in the NPPES registry on March 7, 2020.

Where is Julissa Caraballo located?

Julissa Caraballo practices at 4044 Promontory St, San Diego, CA 92109. The listed phone number is (917) 757-2230.

What is Julissa Caraballo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Julissa Caraballo was last updated on March 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.