Marlen Casillas

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

D1141878 Issued in CA

Practice address

1406 Mountain View St
San Fernando, CA 91340-1244

Phone

(818) 926-8853

NPI assigned

Jun 27, 2023

Last updated

Jun 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1043996556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 MOUNTAIN VIEW ST",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913401244",
            "telephone_number": "818-926-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 MOUNTAIN VIEW ST",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913401244",
            "telephone_number": "818-926-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASILLAS",
        "first_name": "MARLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "D1141878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Carranza
• Melissa Carreon, RBT
• Maricela Carrillo
• Casa Blanca Pharmacy Inc (Casa Blanca Pharmacy)
• Dezerae Casares, BCBA
• Andres Felipe Castaneda
• Angie Castell
• Veronica Castellanos, NURSE PRACTITIONER
• Giovanni Christian Castelli
• Alyssa Itzel Castillo

• Lactation Consultant (Non-RN) in San Fernando, CA
• Providers in San Fernando, CA by specialty
• Lactation Consultant (Non-RN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.