Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cherokee Carrillo, PA-C

Individual provider Physician Assistant · NPI 1588204705

Cherokee Carrillo, PA-C is a Physician Assistant in Eagle Mountain, Utah. Qualified in 2019, 7 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah and Washington.

Years since qualifying
7
Licensed in
UT, WA
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

4095 E Pony Express Pkwy
Eagle Mountain, UT 84005
Phone: (801) 429-8037
Fax: (801) 753-7476
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1160 E 3900 S Ste 4100, Salt Lake City, UT 84124-1246 — (801) 268-3800

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11583503-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence PA61242297 (WA)

Record details

NPI number1588204705
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 15, 2020
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024
Mailing address1055 N 500 W, Attn Credentialing, Provo, UT 84604-1246

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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