Kimberly Castro Perales

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3829 E Iva St
Compton, CA 90221-5130

Phone

(562) 415-5727

NPI assigned

Mar 25, 2022

Last updated

Mar 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1376293050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3829 E IVA ST",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902215130",
            "telephone_number": "562-415-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3829 E IVA ST",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902215130",
            "telephone_number": "562-415-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO PERALES",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@roadsfoundation.org",
            "affiliation": "N",
            "address_1": "121 S Long Beach Blvd",
            "city": "Compton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902213423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Keith Carrillo, NP
• Maria Isabel Carrillo, M.A., CHW
• Tylik Carter, CMT
• Nancy Casillas
• Alexus Marie Castellanos
• Doris Castro
• Fatima Milagros Castro, B.A.
• Althea C Cayonne
• Mariela Cazares Garcia
• Paula Leticia Cedillo, PSY. D.

• Behavior Technician in Compton, CA
• Providers in Compton, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.