| Dr Martin Antonio Carrillo, MD | |
|
5451 Walnut Ave, Chino, CA 91710-2609 | |
| (909) 464-8666 | |
| (909) 464-8913 |
| Full Name | Dr Martin Antonio Carrillo |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 33 Years |
| Location | 5451 Walnut Ave, Chino, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861436339 | NPI | - | NPPES |
| 00G785900 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | G78590 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chino Valley Medical Center | Chino, CA | Hospital |
| Montclair Hospital Medical Center | Montclair, CA | Hospital |
| San Dimas Community Hospital | San dimas, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Chino Emergency Medical Associates, Inc. | 9638334410 | 10 |
| Entity Name | Montclair Emergency Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316044696 PECOS PAC ID: 8022019702 Enrollment ID: O20070123000593 |
| Entity Name | Chino Emergency Medical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013282029 PECOS PAC ID: 9638334410 Enrollment ID: O20120628000341 |
| Entity Name | Telemedicine365, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912525817 PECOS PAC ID: 0648683920 Enrollment ID: O20210105001789 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Martin Antonio Carrillo, MD Po Box 70304, Pasadena, CA 91117-7304 Ph: (626) 792-9016 | Dr Martin Antonio Carrillo, MD 5451 Walnut Ave, Chino, CA 91710-2609 Ph: (909) 464-8666 |
Haider Z Rizvi, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5451 Walnut Ave, Chino, CA 91710 Phone: 909-464-8666 Fax: 909-464-8600 | |
Dr. Jose J Diaz, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5451 Walnut Ave, Chino, CA 91710 Phone: 909-464-8667 | |
Dr. James Sytuan Winn, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5451 Walnut Ave, Chino, CA 91710 Phone: 909-464-8666 Fax: 909-464-8913 | |
Ashraf I. Abdel-kerim, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5451 Walnut Ave, Chino, CA 91710 Phone: 909-464-8666 Fax: 909-464-8913 | |
Dr. Douglas Matthew Cochrane, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5451 Walnut Ave, Chino, CA 91710 Phone: 909-464-8666 Fax: 909-464-8913 | |
Shannon Michelle Ward, FNP Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5451 Walnut Ave, Chino, CA 91710 Phone: 909-464-8600 | |
Dr. Jorge Francisco Perez, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5451 Walnut Ave, Chino, CA 91710 Phone: 909-464-8666 Fax: 909-464-8913 |