Maria Carrillo, is a
Peer Specialist based in San Jose, California. Maria Carrillo is licensed to practice in California (license number MPSS-OHXDRZ) and her current practice location is
1885 Lundy Ave Ste 223, San Jose, California. She can be reached at her office (for appointments etc.) via phone at
(408) 284-9000.
NPI number for Maria Carrillo is 1689096711 and her current mailing address is 1885 Lundy Ave Ste 223, San Jose, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689096711.
Healthcare Provider's Profile
Full Name | Maria Carrillo |
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Gender | Female |
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Speciality | Peer Specialist |
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Location | 1885 Lundy Ave Ste 223, San Jose, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689096711
- Provider Enumeration Date: 01/08/2014
- Last Update Date: 10/02/2023
Medical Identifiers
Medical identifiers for Maria Carrillo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689096711 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
175T00000X | Peer Specialist | MPSS-OHXDRZ (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Maria Carrillo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Maria Carrillo, 1885 Lundy Ave Ste 223, San Jose, CA 95131-1888 Ph: (408) 284-9000 | Maria Carrillo, 1885 Lundy Ave Ste 223, San Jose, CA 95131-1888 Ph: (408) 284-9000 |
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