Brandon Ponce Carrillo

NPI 1144145335 · on the registry since 2026

Practice

Address: 14662 Newport Ave
Tustin, CA 92780
Phone: (714) 619-7700
Organisation at this address: Tapan Roy Md Pc
True Life Clinic, Pc
Oc Path Medical Group
Oc Emergency Physicians
Performance Medical Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 163WC0200X
163WC0200X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-08-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California