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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CLARISSA SHADAE CARRILLO
NPI 1780240119
Rehabilitation Practitioner in Sacramento, CA

Active since May 10, 2019
3815 MARCONI AVE, SACRAMENTO, CA 95821(916) 890-3000 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 10, 2023, Jan 28, 2020, May 10, 2019 (3 updates tracked since 2019).

About Clarissa Shadae Carrillo NPPES

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

CLARISSA SHADAE CARRILLO (NPI 1780240119) is an individual rehabilitation practitioner in Sacramento, California and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1780240119
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameCLARISSA SHADAE CARRILLO
Location Address3815 MARCONI AVESacramento, CA 95821-3820
Mailing Address3815 Marconi AveSacramento, CA 95821-3820 · (916) 890-3000
Phone(916) 890-3000
Sole ProprietorYes
Enumeration DateMay 10, 2019
Last NPPES UpdateOctober 23, 20263 updates tracked since enumeration
NPPES CertifiedOctober 23, 2026
✔ NPI 1780240119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
3815 MARCONI AVE, Sacramento, CA 95821
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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.

CALI T THIELEN
Adult Companion
3815 MARCONI AVE
SACRAMENTO, CA 95821
Sacramento County (916) 890-3000
STEFANEY DENISE GUEST BROWN LVN
Licensed Vocational Nurse
3815 MARCONI AVE
SACRAMENTO, CA 95821
Sacramento County (916) 890-3000
CHRISTINA NICOLE TANNER
Adult Companion
3815 MARCONI AVE
SACRAMENTO, CA 95821
Sacramento County (916) 890-3000
TAQUILLA OWENS
Community Health Worker
3815 MARCONI AVE
SACRAMENTO, CA 95821
Sacramento County (916) 890-3000
KIMONI WILLIAMS
Community Health Worker
3815 MARCONI AVE
SACRAMENTO, CA 95821
Sacramento County (916) 890-3000
NARCISA ISABELLA MAISONET-STEVENSON
Peer Specialist
3815 MARCONI AVE
SACRAMENTO, CA 95821
Sacramento County (916) 890-3000
J'QUAYSHA TUCKER LMFT
Marriage & Family Therapist
3815 MARCONI AVE
SACRAMENTO, CA 95821
Sacramento County (916) 890-3000
JAIDA-KELENI ALOHAPUUWAI KAFOVALU
Rehabilitation Practitioner
3815 MARCONI AVE
SACRAMENTO, CA 95821
Sacramento County (916) 205-1469

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 Clarissa Carrillo's NPI number?

The NPI number for Clarissa Carrillo is 1780240119. It was assigned to this individual provider in the NPPES registry on May 10, 2019.

Where is Clarissa Carrillo located?

Clarissa Carrillo practices at 3815 Marconi Ave, Sacramento, CA 95821. The listed phone number is (916) 890-3000.

What is Clarissa Carrillo's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Clarissa Carrillo was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.