Active NPI
Matthew Castillo
- Social Worker
- Los Angeles, CA
National Provider Identifier
1639863046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 120345
- Practice address
- 1816 S Figueroa St FL 6
Los Angeles, CA 90015-3422 - Phone
- (972) 979-6583
- NPI assigned
- Jun 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 120345 | CA | |
| Social Worker | 104100000X | 120345 | CA | Primary |
Addresses
Primary practice location
1816 S Figueroa St FL 6
Los Angeles, CA 90015-3422
Mailing address
1816 S Figueroa St FL 6
Los Angeles, CA 90015-3422
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1639863046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1816 S FIGUEROA ST FL 6",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900153422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1816 S FIGUEROA ST FL 6",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900153422",
"telephone_number": "972-979-6583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-07",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "120345",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "120345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.