Active NPI
Lynnie Boligor Castillo
- Family Nurse Practitioner
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95003537
- Practice address
- 2615 Chester Ave
Bakersfield, CA 93301-2014 - Phone
- (661) 395-3000
- NPI assigned
- Dec 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 95003537 | CA | Primary |
Addresses
Primary practice location
2615 Chester Ave
Bakersfield, CA 93301-2014
Mailing address
2615 Chester Ave
Bakersfield, CA 93301-2014
Phone (661) 395-3000
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4600 Panama LN
Unit 102B
Bakersfield, CA 93313-3511
Phone (866) 707-6664
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95003537 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of California, Inc | Current | Accepting new patients | |
| Omni Family Health | Current | Accepting new patients | |
| Omni Family Health | Current | Accepting new patients | |
| Omni Family Health | Current | Accepting new patients | |
| Bakersfield Memorial Hospital | Past | Accepting new patients | |
| Adventist Health Delano | Past | Accepting new patients |
Locations
18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311
2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545
4600 Panama Ln
Unit 102B
Bakersfield, CA 93313
Phone (661) 630-7732
4151 Mexicali Dr
Bakersfield, CA 93313
210 N Chester Ave
Bakersfield, CA 93308
Phone (661) 325-6800
277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381
912 Fremont St
Delano, CA 93215
Phone (661) 459-1974
1001 Main St
Delano, CA 93215
Phone (661) 454-1712
1255 Travis Blvd
Fairfield, CA 94533
Phone (707) 425-0623
1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254
1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090
655 S Central Valley Hwy
Shafter, CA 93263
Phone (661) 459-1927
347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000
1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803
1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500
215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- lynnie.castillo.p1@direct.omnifamilyhealth.nextgenshare.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Buttonwillow, CA
- NPI 1700891660
-
- Internal Medicine Physician
- Apple Valley, CA
- NPI 1184663965
-
- Federally Qualified Health Center (FQHC)
- Delano, CA
- NPI 1306852496
-
- Federally Qualified Health Center (FQHC)
- Bakersfield, CA
- NPI 1770399669
-
- General Acute Care Hospital
- Delano, CA
- NPI 1144237272
-
- Institutional Pharmacy
- Bakersfield, CA
- NPI 1144256363
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Delano, CA
- NPI 1144237272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449792000000",
"number": "1669847984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2615 CHESTER AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933012014",
"telephone_number": "661-395-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 CHESTER AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933012014",
"telephone_number": "661-395-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "LYNNIE",
"middle_name": "BOLIGOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-11",
"last_updated": "2015-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95003537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.