What is Mary Carrillo's NPI number?

Mary Carrillo's National Provider Identifier (NPI) is 1477925790, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mary Carrillo's specialty?

Mary Carrillo is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).

Where is Mary Carrillo located?

Mary Carrillo's practice location on file with NPPES is 12264 Reed Ave, Grand Terrace, CA 92313-5432.

What is Mary Carrillo's phone number?

The practice phone number listed in the NPPES registry for Mary Carrillo is (951) 452-1364.

Is Mary Carrillo's NPI active?

Yes — Mary Carrillo's NPI (1477925790) is active in the NPPES registry as of the last update on 2015-10-26.

IndividualActive

Mary Carrillo

NPI 1477925790 · Community Health Worker · Grand Terrace, CA

Mary Carrillo is a Community Health Worker provider in Grand Terrace, CA (NPI 1477925790).

Provider details

NPI number: 1477925790
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Community Health WorkerPrimary172V00000X
Other Service Providers

Profile Score

Established profile(66/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
10 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

12264 Reed Ave

Grand Terrace, CA 92313-5432

Phone: (951) 452-1364

Street-level locationGet directions

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Mailing address