CARRILLO MEDICAL GROUP PROFESSIONAL CORPORATION – NPI #1730223421
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CARRILLO MEDICAL GROUP PROFESSIONAL CORPORATION is a provider located in DALY CITY, CA. NPPES has assigned the NPI number 1730223421 to CARRILLO MEDICAL GROUP PROFESSIONAL CORPORATION on February 16, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 11 years ago on Sep 15, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CARRILLO MEDICAL GROUP PROFESSIONAL CORPORATION below.

NPI Profile for
CARRILLO MEDICAL GROUP PROFESSIONAL CORPORATION

NPI Number
1730223421
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CARRILLO MEDICAL GROUP PROFESSIONAL CORPORATION
Primary location
1800 SULLIVAN AVE RM 101
DALY CITY, CA 94015-2227
Phone: (650) 994-0459 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
INES SJOGRELL
MANAGER
Phone: (925) 790-0760
Updated
Identifiers

Identifiers for CARRILLO MEDICAL GROUP PROFESSIONAL CORPORATION

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA00A517430
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
CA A51743

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.