Individual provider · Type 1 NPI

Kassandra Carrillo

General Practice Physician · Roseville, CA

NPI number 1891599700 Active

Practice location

1 Medical Plaza Dr
Roseville, CA 95661-3037

Call (916) 781-1000 Map

Mailing address

2382 Millcreek Dr
Modesto, CA 95351-4892

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X25727 (CA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1891599700

Kassandra Carrillo's National Provider Identifier is 1891599700, issued on Apr 1, 2025. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Roseville, CA. The record was last updated on Sep 14, 2026.