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

Nicolas Shigeaki Carrillo

Individual provider Physical Therapist · NPI 1144749706

Nicolas Shigeaki Carrillo is a Physical Therapist in San Diego, California. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

4435 Eastgate Mall Ste 120
San Diego, CA 92121-1980
Phone: (858) 587-8669
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1144749706
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 14, 2017
Last updated in NPPESSeptember 14, 2017

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