Homero Carrillo-Leon
Day Training/Habilitation Specialist in Burlingame, CA. Individual provider (NPI-1).
NPI number1104468032
StatusActive
Last updated in NPPESAug 25, 2025
Details
- NPI
- 1104468032
- Entity type
- Individual (NPI-1)
- Name
- Homero Carrillo-Leon
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2019
- Certification date
- Aug 25, 2025
- Last updated
- Aug 25, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | – | Yes |
Practice location
700 Airport BlvdBurlingame, CA 94010-1908
Phone 650-517-8220
Mailing address
700 Airport BlvdBurlingame, CA 94010-1908
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 37 Day Training/Habilitation Specialist providers in Burlingame · All 1,628 providers in Burlingame
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