Dianna Carrillo
Clinical · San Jose
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- 3
- 2 carriers
- Office
- 1
Offices
1 location
Plans that list them
3 plans · 2 carriers
A missing listing does not mean out of network. Directories change, and a listing does not cover every office. Call Dianna Carrillo’s office at (408) 402-4385 to confirm they take your plan. Ask about the office you use, its medical group, referrals and appointments.
3 of 3 plans
| Anthem Full Dual Advantage Aligned (HMO D-SNP) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Medicare Advantage (HMO-POS) | Anthem Blue Cross | Listed | Oct 3, 2026 |
| Anthem Prime (HMO-POS) | Anthem Blue Cross Partnership Plan | Listed | Oct 3, 2026 |
California Medical Board record
Licence A104492 · Cancelled
Licence status: Cancelled · since 2008 · University of Texas Medical School at Houston.
License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.
Matched on the licence number without its letter prefix; check the name before relying on it.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Professional record
- NPI
- 1346977238
- Licence
- CA 104492California A104492: Cancelled
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 1041C0700X (1041C0700X)
- Mailing address
- 1116 W Vassar Ave, Fresno, CA, 93705
- NPI first listed
- 2022-08-02
- NPI last updated
- 2025-04-18
- NPI record certified
- 2025-04-18
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 380 /386 Coalinga Plaza, Coalinga, CA, 93210 · 1690 W Shaw Ave Ste 201, Fresno, CA, 93711 · 258 N Blackstone Ave, Fresno, CA, 93701 · 3636 N First St, Fresno, CA, 93726 · 3855 N West Ave Ste 105, 108, & 110, Fresno, CA, 93705 · 36618 Lassen Ave, Huron, CA, 93234 · 275 S Madera Ave Ste 302, 403, 404, Kerman, CA, 93630 · 121 Belmont Ave Ste 300, Mendota, CA, 93640 · 34, 36, 40 E Minarets Ave #1, Pinedale, CA, 93650 · 1311 11th St, Reedley, CA, 93654 · 225 Academy Ave, Sanger, CA, 93657 · 3400 Mccall Ave Ste 104, Selma, CA, 93662