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

Nika Carrillo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1508390618

Nika Carrillo is an Internal Medicine in San Leandro, California. Graduated from University of California, Davis School of Medicine in 2019, 7 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment.

Years since qualifying
7
Trained at
University of California, Davis School of Medicine
In the registry since
2017
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Practice location Address checks out

2500 Merced St
San Leandro, CA 94577-4201
Phone: (510) 454-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1508390618
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 14, 2017
Last updated in NPPESFebruary 24, 2024
Certification dateFebruary 7, 2024
Mailing address2500 Merced St, San Leandro, CA 94577-4201

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Leandro