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Active NPI 1124876792 Individual Practitioner Male Practitioner

Jose Ayala-Carrillo , NP

Nurse Practitioner • Sausalito, CA

Professional Overview & Biography Verified Profile Summary

Jose Ayala-Carrillo, NP is a registered healthcare professional specializing in Nurse Practitioner in Sausalito, CA. Practice services are available at 1 HARBOR DR STE 300 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1 Harbor Dr Ste 300

Sausalito, CA 949651434

Telephone 9255504459
Associated Practice Facility / Clinic
🏢 Monj Health Llc Facility NPI 1508404278

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Sausalito, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Sausalito, CA (8378 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: 2024-05-09
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 95023218

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Secondary Practice Locations

1417 W Beverly Blvd Ste 106

Montebello, CA 906404125

Phone: 3102420919

Practice Associates & Co-Workers

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

3 Associated Practitioners
Kimberly Cohen

Nurse Practitioner - Primary Care

NPI 1346030194
Sarah Udor , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1861013575

Nurse Practitioner

NPI 1972052694

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 09, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location May 09, 2024

Registered at 1 HARBOR DR STE 300, SAUSALITO, CA 949651434 (Tel: 9255504459)

📍
Updated Business Mailing Address May 09, 2024

Registered at 2005 DAVIDSON PL, WHITING, IN 463942026 (Tel: 3126078505)

👤
Provider Name / Credentials Updated May 09, 2024

Recorded as JOSE AYALA-CARRILLO, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2024

Nurse Practitioner (License #95023218 in CA)

🟢
Initial NPI Registration & Enumeration May 09, 2024

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: 1124876792
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2024
Last Update: May 09, 2024
Sole Proprietor: No

Mailing Address

2005 Davidson Pl

Whiting, IN 463942026

Phone: 3126078505

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.