Carrillo Medical Group Professional Corporation
NPI 1730223421ActiveOrganization· Family Medicine· Daly City, CA
Family Medicine in Daly City, California, registered in NPPES in February 2007. The authorized official on file is Ines Sjogrell, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1730223421 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 16, 2007 |
| Last updated in NPPES | Sep 15, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | A51743 | 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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