NPIMap

Individual provider Active NPI

Kara Castillo

  • Clinical Social Worker
  • Yorba Linda, CA
National Provider Identifier
1205284122
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
101880 Issued in CA
Practice address
20409 Yorba Linda Blvd Ste K2 PMB 127
Yorba Linda, CA 92886
Phone
(714) 947-2779
NPI assigned
Jun 1, 2016
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 101880 CA Primary

Addresses

Primary practice location

20409 Yorba Linda Blvd Ste K2 PMB 127
Yorba Linda, CA 92886

Mailing address

20409 Yorba Linda Blvd Ste K2 PMB 127
Yorba Linda, CA 92886
Phone (714) 947-2779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
101880CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Alternatives Inc. Past Accepting new patients
Western Youth Services Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1205284122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20409 YORBA LINDA BLVD STE K2 PMB 127",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "92886",
            "telephone_number": "714-947-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20409 YORBA LINDA BLVD STE K2 PMB 127",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "92886",
            "telephone_number": "714-947-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "KARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "101880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.