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

Jessica Keakealani Carrillo, DPM

Individual provider Primary Podiatric Medicine Podiatrist · NPI 1508684697

Jessica Keakealani Carrillo, DPM is a Primary Podiatric Medicine Podiatrist in Philadelphia, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2024
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140-5189
Phone: (800) 836-7536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 148 N 8th St, Philadelphia, PA 19107-2418 — (949) 606-4057

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence SC007586 (PA)
Primary Podiatric Medicine Podiatrist Taxonomy 213EP1101X · Licence SC007586 (PA)

Record details

NPI number1508684697
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorNo
NPI enumeratedSeptember 28, 2024
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025

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