Herman Carrillo,m.D. & Marvin Urbina MD Proffesional Corporation
NPI 1124214341ActiveOrganization· General Practice· Baldwin Park, CA
General Practice in Baldwin Park, California, registered in NPPES in September 2007. The authorized official on file is Herman Carrillo, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124214341 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2007 |
| Last updated in NPPES | Sep 20, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | A45086 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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