Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669089074 Individual Practitioner Female Practitioner

Gladys Carrillo

Rehabilitation Practitioner • Long Beach, CA

Professional Overview & Biography Verified Profile Summary

Gladys Carrillo is a registered healthcare professional specializing in Rehabilitation Practitioner in Long Beach, CA. Practice services are available at 1501 HUGHES WAY STE 150 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1501 Hughes Way Ste 150

Long Beach, CA 908101878

Telephone 3102216336
Associated Practice Facility / Clinic
🏢 Stars View Inc Facility NPI 1578865366

Specialty Benchmarks & Practice Insights

Comparative analytics for Rehabilitation Practitioner in Long Beach, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
535 Specialists

Practicing in Long Beach, CA (14127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-03-11
Rehabilitation Practitioner Primary Specialty

NUCC Taxonomy Code: 225400000X

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

State License CA 00013091

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Maria Perez-Rios , MASTERS

Marriage & Family Therapist

NPI 1003089962
Eunice Bisong , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003255779

Nurse Practitioner

Johnette Gonzalez

Case Manager/Care Coordinator

NPI 1003289760
Ivannia Fuentes

Marriage & Family Therapist

NPI 1003318023
Michael Fabian , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003364514

Psychiatric-Mental Health Nurse Practitioner

Angie Santos

Social Worker

NPI 1003445206

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 11, 2021

Registered at 1501 HUGHES WAY STE 150, LONG BEACH, CA 908101878 (Tel: 3102216336)

📍
Updated Business Mailing Address March 11, 2021

Registered at 1501 HUGHES WAY STE 150, LONG BEACH, CA 908101878 (Tel: 3102216336)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2021

Rehabilitation Practitioner

NPI Profile Active September 29, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 29, 2020

Registered at 6355 TOPANGA CANYON BLVD STE 309, WOODLAND HILLS, CA 913672132 (Tel: 8184364160)

📍
Updated Business Mailing Address September 29, 2020

Registered at 18726 S WESTERN AVE STE 408, GARDENA, CA 902483858

👤
Provider Name / Credentials Updated September 29, 2020

Recorded as GLADYS CARRILLO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2020

Behavior Technician (License #00013091 in CA)

🟢
Initial NPI Registration & Enumeration September 29, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669089074
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2020
Last Update: March 11, 2021
Sole Proprietor: No

Mailing Address

1501 Hughes Way Ste 150

Long Beach, CA 908101878

Phone: 3102216336

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.