Active NPI
Maria Castillo
- Driver
- Stockton, CA
National Provider Identifier
1235399874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 3151 Stefano Dr
Stockton, CA 95212-3550 - Phone
- (209) 547-1215
- Fax
- (209) 464-4765
- NPI assigned
- Jun 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Primary |
Addresses
Primary practice location
3151 Stefano Dr
Stockton, CA 95212-3550
Mailing address
3151 Stefano Dr
Stockton, CA 95212-3550
Phone (209) 547-1215
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MTN01069F | Other | CA | MEDI-CAL PROVIDER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1235399874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3151 STEFANO DR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952123550",
"telephone_number": "209-547-1215",
"fax_number": "209-464-4765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3151 STEFANO DR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952123550",
"telephone_number": "209-547-1215",
"fax_number": "209-464-4765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "MARIA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-16",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL PROVIDER",
"identifier": "MTN01069F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.