Vander C Castillo, MA ATC CES CEAS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

5004 Onyx St
Torrance, CA 90503-2742

Phone

(424) 999-5749

NPI assigned

Nov 8, 2017

Last updated

Nov 8, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Arts

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1285147520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 ONYX ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905032742",
            "telephone_number": "310-999-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 ONYX ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905032742",
            "telephone_number": "424-999-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "VANDER",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MA ATC CES CEAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javier Castillo
• Karina Castillo, B.A.
• Ruth Milagro Castillo, RN
• Samantha Castillo
• Shirley Fonda Castillo, PHARMD
• Vanessa Castillo
• Eric J. Castleman, M.D.
• Giselle Castorena Perez
• Aileen Diann Castro
• Daniel B Castro, M.D.

• Athletic Trainer in Torrance, CA
• Providers in Torrance, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.