Individual provider Active NPI

Cristina Taghilou, FNP

  • Family Nurse Practitioner
  • Castaic, CA
National Provider Identifier
1386320380
Registry record updated Jul 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95023944 Issued in CA
Practice address
27602 Buckskin Dr
Castaic, CA 91384-3551
Phone
(661) 857-0278
NPI assigned
Jun 23, 2023
Last updated
Jul 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95023944 CA Primary

Addresses

Primary practice location

27602 Buckskin Dr
Castaic, CA 91384-3551

Mailing address

27602 Buckskin Dr
Castaic, CA 91384-3551
Phone (661) 857-0278

Other names 1

  • Cristina Margarita Escudero, Trejo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Care CurrentSince Oct 9, 2024 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Oct 9, 2024 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689379200000",
    "number": "1386320380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27602 BUCKSKIN DR",
            "city": "CASTAIC",
            "state": "CA",
            "postal_code": "913843551",
            "telephone_number": "661-857-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27602 BUCKSKIN DR",
            "city": "CASTAIC",
            "state": "CA",
            "postal_code": "913843551",
            "telephone_number": "661-857-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGHILOU",
        "first_name": "CRISTINA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-07-15",
        "certification_date": "2023-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTINA",
            "last_name": "ESCUDERO, TREJO",
            "middle_name": "MARGARITA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Castaic, CA

Sources for this page

Verify at the official NPI Registry.