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

MARICRUZ PAT CARRILLO
NPI 1790289080
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since March 21, 2018
446 ALTA RD STE 6100, SAN DIEGO, CA 92158(619) 671-4400 Get Directions Write a Review

NPPES record last updated: September 9, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 9, 2026, Aug 5, 2026, May 17, 2021 and 1 more (4 updates tracked since 2018).

About Maricruz Pat Carrillo NPPES

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

MARICRUZ PAT CARRILLO (NPI 1790289080) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since March 2018. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1790289080
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARICRUZ PAT CARRILLO
Location Address446 ALTA RD STE 6100San Diego, CA 92158-0001
Mailing Address480 Alta RdSan Diego, CA 92179-0001 · (619) 661-6500
Sole ProprietorNo
Enumeration DateMarch 21, 2018
Last NPPES UpdateSeptember 9, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2026
✔ NPI 1790289080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
446 ALTA RD STE 6100, San Diego, CA 92158

Secondary Practice Location 1

Location 1498 Perimeter RdSan Diego, CA 92158-0001 · Phone (619) 661-6500

Other Providers at the Same Location NPPES 5

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

Counselor
446 ALTA RD STE 6100
SAN DIEGO, CA 92158
Counselor (Addiction (Substance Use Disorder))
446 ALTA RD STE 6100
SAN DIEGO, CA 92158
Nurse Practitioner (Family)
446 ALTA RD STE 6100
SAN DIEGO, CA 92158
Marriage & Family Therapist
446 ALTA RD STE 6100
SAN DIEGO, CA 92158
Marriage & Family Therapist
446 ALTA RD STE 6100
SAN DIEGO, CA 92158

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 Maricruz Pat Carrillo's NPI number?

The NPI number for Maricruz Pat Carrillo is 1790289080. It was assigned to this individual provider in the NPPES registry on March 21, 2018.

Where is Maricruz Pat Carrillo located?

Maricruz Pat Carrillo practices at 446 Alta Rd Ste 6100, San Diego, CA 92158. The listed phone number is (619) 671-4400.

What is Maricruz Pat Carrillo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Maricruz Pat Carrillo was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.