Eriberto Casillas, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

38397 Innovation CT
Suite 106
Murrieta, CA 92563-2630

Phone

(951) 290-8007

Fax

(951) 575-3626

NPI assigned

Feb 28, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1477680940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38397 INNOVATION CT",
            "address_2": "SUITE 106",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632630",
            "telephone_number": "951-888-2323",
            "fax_number": "951-575-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38397 INNOVATION CT",
            "address_2": "SUITE 106",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632630",
            "telephone_number": "951-290-8007",
            "fax_number": "951-575-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASILLAS",
        "first_name": "ERIBERTO",
        "credential": "ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL2230",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayna Carson
• Christine Suzanne Carter
• Jarrett Carter
• Pamela L Carter, CPT1
• Leilany Casablanca
• Erin Casillas, OTR/L
• Cami Cassaday
• Douglas Cast, DDS, FAGD, DIADI
• Christina Castaneda
• Jena Mae Bawe Castaneda, PT

• Athletic Trainer in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.