LISA CARRILLO RN
NPI 1821617796
Registered Nurse - Home Health in Roseville, CA

Q: What is Lisa Carrillo's NPI number?

The NPI number for Lisa Carrillo is 1821617796. It was assigned to this individual provider in the NPPES registry on April 10, 2020.

Q: What is Lisa Carrillo's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Home Health, with taxonomy code 163WH0200X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Carrillo was last updated on April 10, 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 April 10, 2020

4332 MAJESTIC PRINCE WAY, ROSEVILLE, CA 95747(650) 452-8434 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Lisa Carrillo Rn NPPES

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

LISA CARRILLO RN (NPI 1821617796) is an individual home health provider in Roseville, California, licensed in California (738171) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1821617796

Entity TypeIndividualFemale

Primary Taxonomy163WH0200X

Provider Legal NameLISA CARRILLOCredential: RN

Location Address4332 MAJESTIC PRINCE WAYRoseville, CA 95747-9627

Mailing Address8 Wilshire CtDaly City, CA 94015-1038 · (650) 452-8434

Phone(650) 452-8434

Sole ProprietorYes

Enumeration DateApril 10, 2020

NPPES CertifiedApril 10, 2020

✔ NPI 1821617796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Home HealthNursing Service Providers

Taxonomy Code163WH0200X

License✔ Licensed in CA · 738171

4332 MAJESTIC PRINCE WAY, Roseville, CA 95747

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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 Lisa Carrillo's NPI number?

The NPI number for Lisa Carrillo is 1821617796. It was assigned to this individual provider in the NPPES registry on April 10, 2020.

Where is Lisa Carrillo located?

Lisa Carrillo practices at 4332 Majestic Prince Way, Roseville, CA 95747. The listed phone number is (650) 452-8434.

What is Lisa Carrillo's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Home Health, with taxonomy code 163WH0200X.

When was this NPI record last updated?

The NPPES record for Lisa Carrillo was last updated on April 10, 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.