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

Marissa Carrillo, PA

Individual provider Physician Assistant · NPI 1538148929

Marissa Carrillo, PA is a Physician Assistant in Fresno, California. Qualified in 2001, 25 years ago. Practices with Kathleen L Behr M D Inc, a 6-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
25
Licensed in
CA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1125 E Spruce Ave Ste 207
Fresno, CA 93720-3390
Phone: (559) 435-7546
Fax: (559) 435-4976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0PA163411 (CA)

Record details

NPI number1538148929
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 13, 2006
Last updated in NPPESJuly 30, 2009
Mailing address1125 E Spruce Ave Ste 207, Fresno, CA 93720-3390

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Kathleen L Behr M D Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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