LISA CARRILLO RN NPI 1821617796

NPI Information

  • NPI: 1821617796
  • Provider Name: LISA CARRILLO, RN
  • Classification: Registered Nurse - 163WH0200X
  • Specialization: Home Health
  • Entity Type: Individual
  • Address: 4332 MAJESTIC PRINCE WAY
    ROSEVILLE, CA
    ZIP 95747
  • Phone: (650) 452-8434

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NPI Details

Lisa Carrillo, RN is a home health registered nurse in Roseville, CA. Lisa Carrillo, RN NPI is 1821617796. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4332 MAJESTIC PRINCE WAY
ROSEVILLE, CA
ZIP 95747-627
Phone: (650) 452-8434

The enumeration date for this NPI number is 4/10/2020 and was last updated on 4/10/2020.

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
1163WH0200XRegistered NurseHome Health738171CALIFORNIAYes

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

NPI Synchronization or Removal

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