Raynard A Castillo

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

NP95009322 Issued in CA

Practice address

16465 Sierra Lakes Pkwy
Fontana, CA 92336-1242

Phone

(909) 244-9593

Fax

(833) 903-0337

NPI assigned

Sep 27, 2013

Last updated

May 7, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kalpesh Bhavsar MD Professional CorporationGroup PAC ID 9436312873, 2 clinicians

Anthony Benigno PSYD Psychological Services PCGroup PAC ID 5193068765, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Anthony Benigno, PSYD., Psychological Services, PC

  dba AB Psych Consulting

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fontana, CA
  • NPI 1295202943
  Medicare reassignment Care Compare group NPD
• Kalpesh Bhavsar MD Professional Corporation

  • Psychiatry Physician
  • Rosemead, CA
  • NPI 1528327178
  Medicare reassignment Care Compare group NPD
• Pacific Clinics

  • Community/Behavioral Health Agency
  • Campbell, CA
  • NPI 1255496105
  Medicare reassignment NPD
• Pacific Clinics

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1336458934
  NPD

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1437586047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 ORANGE TREE LN",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917861501",
            "telephone_number": "909-973-2388",
            "fax_number": "909-581-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16465 SIERRA LAKES PKWY",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361242",
            "telephone_number": "909-244-9593",
            "fax_number": "833-903-0337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11731 Telegraph Rd Ste K",
            "address_purpose": "LOCATION",
            "city": "Santa Fe Springs",
            "state": "CA",
            "postal_code": "906706815",
            "country_code": "US",
            "telephone_number": "562-907-7429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "RAYNARD",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-27",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95009322",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "803417",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest Castigadorgayomali, FNP-C
• Ashley Vanessa Castillo, M.S., CCC-SLP
• Hannah Nicole Castillo, PT
• Ismael Castillo, PHARM.D.
• Oswaldo Castillo
• Chris Elmor Caston, LCSW
• Christine Hanna Castro, PHARM.D., BCPS
• Cipriano Castro, PHYSICAL THERAPIST
• Cathy Nguyen, O.D., a Professional Optometric Corporation
• Christina Catren, PPS

• Psychiatric/Mental Health Nurse Practitioner in Fontana, CA
• Providers in Fontana, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.