Active NPI
Kendra Lanai Castillo
- Peer Specialist
- Stockton, CA
National Provider Identifier
1316624323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- MPSS-QHSVNL
- Practice address
- 620 N Aurora St
Stockton, CA 95202-2343 - Phone
- (209) 468-9370
- NPI assigned
- Jun 30, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Peer Specialist | 175T00000X | MPSS-QHSVNL | CA | Primary |
| Day Training/Habilitation Specialist | 373H00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X |
Addresses
Primary practice location
620 N Aurora St
Stockton, CA 95202-2343
Mailing address
620 N Aurora St
Stockton, CA 95202-2343
Phone (209) 468-9370
Other practice location 1
500 W Hospital Rd
French Camp, CA 95231-9693
Phone (209) 263-9404
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-QHSVNL | CA | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1316624323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 N AURORA ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952022343",
"telephone_number": "209-468-9370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 N AURORA ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952022343",
"telephone_number": "209-468-9370"
}
],
"practiceLocations": [
{
"address_1": "500 W Hospital Rd",
"address_purpose": "LOCATION",
"city": "French Camp",
"state": "CA",
"postal_code": "952319693",
"country_code": "US",
"telephone_number": "209-263-9404",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTILLO",
"first_name": "KENDRA",
"middle_name": "LANAI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-30",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": "MPSS-QHSVNL",
"primary": true
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.