Active NPI
Krystle Jade Castillo
- Adult Companion
- Salida, CA
National Provider Identifier
1225796568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 5616 Baume Way
Salida, CA 95368-9510 - Phone
- (209) 798-9540
- NPI assigned
- Dec 3, 2021
- Last updated
- May 13, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | ||
| Adult Companion | 372600000X | NU | Primary | |
| Community Health Worker | 172V00000X | CA | ||
| Case Manager/Care Coordinator | 171M00000X | NU | ||
| Peer Specialist | 175T00000X | MPSS-IYMPNH | CA |
Addresses
Primary practice location
5616 Baume Way
Salida, CA 95368-9510
Mailing address
5616 Baume Way
Salida, CA 95368-9510
Phone (209) 798-9540
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
| License | State | Type | Specialty |
|---|---|---|---|
| MPSS-IYMPNH | CA | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747094400000",
"number": "1225796568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5616 BAUME WAY",
"city": "SALIDA",
"state": "CA",
"postal_code": "953689510",
"telephone_number": "209-798-9540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5616 BAUME WAY",
"city": "SALIDA",
"state": "CA",
"postal_code": "953689510",
"telephone_number": "209-798-9540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "KRYSTLE",
"middle_name": "JADE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-03",
"last_updated": "2025-05-13",
"certification_date": "2025-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-IYMPNH",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salida, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.