Brian Anthony Carrillo

Physician Assistant · Riverside, CA

Individual Active NPI

NPI number 1538517776

Practice location

4445 Magnolia Ave
Riverside, CA 92501-4135
Phone
(951) 788-3000

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NPI record

NPI
1538517776
Entity type
Individual (Type 1)
Enumeration date
May 27, 2016
Last updated
February 15, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 54187 CA

About Brian Carrillo

Brian Anthony Carrillo is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 4445 Magnolia Ave, Riverside, CA 92501-4135. The NPI number 1538517776 was assigned on May 27, 2016 and the record was last updated on February 15, 2017.

Brian Carrillo lists a license in the registry: #54187 (CA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brian Anthony Carrillo?

The NPI number is 1538517776.

What is the phone number of Brian Carrillo?

The phone number listed for the practice location is (951) 788-3000.

Where is Brian Carrillo located?

4445 Magnolia Ave, Riverside, CA 92501-4135.

What is the taxonomy code for Brian Carrillo?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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