Active NPI
Summer Lee Castillo, FNP-C
- Family Nurse Practitioner
- Corona, CA
National Provider Identifier
1639768575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95015930
- Practice address
- 2550 Tuscany St Ste 103
Corona, CA 92881-4660 - Phone
- (951) 272-4455
- NPI assigned
- Jan 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95015930 | CA | Primary |
Addresses
Primary practice location
2550 Tuscany St Ste 103
Corona, CA 92881-4660
Mailing address
96 Via de la Valle
Lake Elsinore, CA 92532-0139
Phone (918) 853-2701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95015930 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1639768575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 VIA DE LA VALLE",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925320139",
"telephone_number": "918-853-2701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 TUSCANY ST STE 103",
"city": "CORONA",
"state": "CA",
"postal_code": "928814660",
"telephone_number": "951-272-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "SUMMER",
"middle_name": "LEE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-14",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95015930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
- Isabella Yvette Castaneda
- Elisa F Castanon
- Joaquin Castillo Marroquin, DO
- Alondra Ruby Castillo
- Maria Luisa Castillo, PA-C
- Castles Care Homes, Inc (Bernadette House)
- Castles Care Homes, Inc (Mesa House)
- Castles Care Homes, Inc. (Elmhurst House)
- Castles Care Homes,Inc (Teakwood House)
- Paola Elizabeth Castrejon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.