| Ms Diane Elizabeth Carrillo, FNP | |
|
38656 Medical Center Dr Ste A, Palmdale, CA 93551-4695 | |
| (661) 940-4444 | |
| (661) 940-4446 |
| Full Name | Ms Diane Elizabeth Carrillo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 38656 Medical Center Dr Ste A, Palmdale, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275847436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 20035 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ridgecrest Regional Hospital | Ridgecrest, CA | Hospital |
| Antelope Valley Hospital | Lancaster, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kanwaljit Gill Md Inc | 8729246806 | 3 |
| Entity Name | Jwch Institute Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407808058 PECOS PAC ID: 1850394123 Enrollment ID: O20060807000476 |
| Entity Name | Kanwaljit Gill Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992074058 PECOS PAC ID: 8729246806 Enrollment ID: O20120221000230 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Diane Elizabeth Carrillo, FNP 38656 Medical Center Dr Ste A, Palmdale, CA 93551-4695 Ph: (661) 940-4444 | Ms Diane Elizabeth Carrillo, FNP 38656 Medical Center Dr Ste A, Palmdale, CA 93551-4695 Ph: (661) 940-4444 |
Wendy Macedo, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1011 Lockheed Way, Palmdale, CA 93599 Phone: 661-572-2190 Fax: 661-572-2150 | |
Jeff Advincula, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 38460 5th St W Ste D, Palmdale, CA 93551 Phone: 661-273-1614 | |
Mrs. Chrystal Gill, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 W Avenue M4, Palmdale, CA 93551 Phone: 818-621-2786 | |
Miss Stacey Jones, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2706 Senna Ln, Palmdale, CA 93551 Phone: 661-526-3945 | |
Mrs. Bobbie Lee Tahar, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 W Palmdale Blvd Ste Q, Palmdale, CA 93551 Phone: 661-947-3300 | |
Mrs. Suja Alexander, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1220 E Avenue S, Suite C, Palmdale, CA 93550 Phone: 661-267-6876 Fax: 661-267-0438 | |
Shelca Weaver Ramirez, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 38651 Panther Dr, Palmdale, CA 93551 Phone: 661-972-0989 |