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

Marissa Carrillo, PA

Individual provider Physician Assistant · NPI 1538148929

Marissa Carrillo, PA is a Physician Assistant in Fresno, California. Qualified in 2001, 25 years ago. Practices with Kathleen L Behr M D Inc, a 6-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
25
Licensed in
CA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1125 E Spruce Ave Ste 207
Fresno, CA 93720-3390
Phone: (559) 435-7546
Fax: (559) 435-4976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0PA163411 (CA)

Record details

NPI number1538148929
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 13, 2006
Last updated in NPPESJuly 30, 2009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Kathleen L Behr M D Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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