Castilleja Adult Clinic PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

CASTILLEJA ADULT CLINIC PLLC

Practice address

201 W Hillside Rd Ste 17
Laredo, TX 78041-3197

Phone

(956) 394-2502

Fax

(956) 290-8059

NPI assigned

Jan 25, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Gabriel Castilleja, FNPNPI 1831544808

Title

FNP/Owner

Phone

(956) 394-2502

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gabriel Castilleja, NP

  • Family Nurse Practitioner
  • Laredo, TX
  • NPI 1831544808

  Single Specialty, TX

  Medicare reassignment Care Compare group NPD Authorized official
• Anna Mae Dela Cruz Castilleja, NP

  • Nurse Practitioner
  • Laredo, TX
  • NPI 1194218289

  TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1376305441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451044",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780450025",
            "telephone_number": "956-394-2502",
            "fax_number": "956-290-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W HILLSIDE RD STE 17",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413197",
            "telephone_number": "956-394-2502",
            "fax_number": "956-290-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTILLEJA ADULT CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "CASTILLEJA",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "FNP/OWNER",
        "authorized_official_telephone_number": "956-394-2502",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Castaneda Jr., MD
• Roxanne Castaneda
• Castellano & Carpenter Dental Asociates, PC
• Joseph B Castellano Jr., DDS
• Alondra Castilla
• Anna Mae Dela Cruz Castilleja, NP
• Gabriel Castilleja, NP
• Francisco Yael Castillo Avalos, MD
• Alyssa Marie Castillo
• Anaiz Castillo, CCC-SLP

• All providers in Laredo, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.