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

Jovany Carrillo

Individual provider Rehabilitation Practitioner · NPI 1295668093

Jovany Carrillo is a Rehabilitation Practitioner in Lakeport, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

150 S Main St
Lakeport, CA 95453-5017
Phone: (707) 467-2010
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1295668093
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 3, 2026
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing addressPo Box 2077, Ukiah, CA 95482-2077

Other providers in Lakeport