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

Mary Carrillo

Individual provider Community Health Worker · NPI 1477925790

Mary Carrillo is a Community Health Worker in Grand Terrace, California. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015
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Practice location Address checks out

12264 Reed Ave
Grand Terrace, CA 92313-5432
Phone: (951) 452-1364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1477925790
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 26, 2015
Last updated in NPPESOctober 26, 2015
Mailing address12264 Reed Ave, Grand Terrace, CA 92313-5432

Other providers in Grand Terrace