Rocio Carrillo, | |
5201 Great America Pkwy Ste 320, Santa Clara, CA 95054-1140 | |
(323) 205-7088 | |
(833) 419-0181 |
Full Name | Rocio Carrillo |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 5201 Great America Pkwy Ste 320, Santa Clara, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134540727 | NPI | - | NPPES |
1134540727 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 125446 (California) | Primary |
Entity Name | Grow Healthcare Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
Mailing Address | Practice Location Address |
---|---|
Rocio Carrillo, Po Box 3595, Gardena, CA 90247-7295 Ph: (562) 507-8256 | Rocio Carrillo, 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054-1140 Ph: (323) 205-7088 |
Jason Nerio, Couples Therapy Medicare: Medicare Enrolled Practice Location: 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054 Phone: 323-205-7088 | |
Chuck Kaspar, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3140 De La Cruz Blvd, S200, Santa Clara, CA 95054 Phone: 408-988-1182 Fax: 408-970-4204 | |
Ms. Taraneh Roosta, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 281 Woodhams Rd, Santa Clara, CA 95051 Phone: 408-966-5612 | |
Lilian Garcia, MFC 85016 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1588 Homestead Rd., Suite 7, Santa Clara, CA 95050 Phone: 650-690-2997 Fax: 888-925-2429 | |
Gabrielle Mattson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1588 Homestead Rd, Santa Clara, CA 95050 Phone: 408-689-8104 | |
Geovana Scarlett Marquez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1400 Coleman Ave Ste B13, Santa Clara, CA 95050 Phone: 650-618-9500 | |
Mrs. Jennifer Elizabeth Stuckey, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: Pob 2094, Santa Clara, CA 95055 Phone: 650-688-3623 |