Marissa Carrillo in Fresno - Physician Assistant
Marissa Carrillo - NPI 1538148929
Marissa Carrillo is a Physician Assistant in Fresno, California. Marissa Carrillo practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Marissa Carrillo is 1538148929. The last update date is 2009-07-30.
Marissa Carrillo's current location address is 1125 E Spruce Ave Ste 207, Fresno, California. You can contact this provider via phone number 5594357546 and fax number 5594354976. The mailing address for Marissa Carrillo is 1125 E Spruce Ave Ste 207, Fresno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marissa Carrillo |
|---|---|
| Address | 1125 E Spruce Ave Ste 207, Fresno, California |
| Phone Number | 5594357546 |
| Fax Number | 5594354976 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1538148929 |
|---|---|
| Provider Enumeration Date | 2006-01-13 |
| Last Updated Date | 2009-07-30 |
Provider Mailing Address Detail
| Address | 1125 E Spruce Ave Ste 207 |
|---|---|
| City | Fresno |
| State | California (CA) |
| Post Code | 937203390 |
| Phone Number | 5594357546 |
| Fax Number | 5594354976 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 0PA163411 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the Marissa Carrillo's unique identification number?
The Marissa Carrillo has been assigned the NPI (National Provider Identifier) Number 1538148929 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Marissa Carrillo?
The Marissa Carrillo is situated at 1125 E Spruce Ave Ste 207, in the city of Fresno, state of CA, with the zip code 937203390.
What is the area of specialization for Marissa Carrillo, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Marissa Carrillo is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1538148929 to Marissa Carrillo?
The Centers for Medicare & Medicaid Services originally issued the 1538148929 to Marissa Carrillo on 2006-01-13.
When was the information related to Marissa Carrillo most recently updated or refreshed?
The details pertaining to the Marissa Carrillo, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-07-30.