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Provider Profile

Kavisha N. Carrillo, PA

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At a glance

About Kavisha Carrillo

Kavisha N. Carrillo, PA is a physician assistant based in Los Angeles, CA. The provider's National Provider Identifier (NPI) is 1144864240.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2020

Specialty

Credentials & Licensing

CA · Physician AssistantPhysician Assistant Board
No. 59390CurrentExpires Aug 2028Since 2021
NPINational Provider Identifier
1144864240Issued 2019

Snapshot · verify with the board ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Kavisha N. Carrillo specialize in?

Kavisha N. Carrillo is a physician assistant in Los Angeles, CA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Kavisha N. Carrillo located?

Kavisha N. Carrillo is listed at 1510 San Pablo St, Los Angeles, CA 90033. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Kavisha N. Carrillo's phone number?

The number on file is (626) 457-6601. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Kavisha N. Carrillo's NPI number?

Kavisha N. Carrillo's National Provider Identifier is 1144864240. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Kavisha N. Carrillo train?

Kavisha N. Carrillo attended Other, graduating in 2020. This comes from the CMS National Downloadable File.

CMS public data

How long has Kavisha N. Carrillo been practicing?

Kavisha N. Carrillo has 6 years experience. Calculated from a graduation year of 2020, reported in the CMS National Downloadable File.

CMS public data

Has Kavisha N. Carrillo confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Kavisha N. Carrillo. If this is you, claiming it is free.

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