BRANDON PONCE CARRILLO NPI 1144145335

NPI Information

  • NPI: 1144145335
  • Provider Name: BRANDON PONCE CARRILLO
  • Classification: Registered Nurse - 163WC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Individual
  • Address: 14662 NEWPORT AVE
    TUSTIN, CA
    ZIP 92780
  • Phone: (714) 619-7700

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NPI Details

Brandon Ponce Carrillo is a critical care medicine registered nurse in Tustin, CA. Brandon Ponce Carrillo NPI is 1144145335. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14662 NEWPORT AVE
TUSTIN, CA
ZIP 92780-064
Phone: (714) 619-7700

The enumeration date for this NPI number is 8/13/2026 and was last updated on 8/13/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC0200XRegistered NurseCritical Care Medicine95312418CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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