Individual provider Active NPI

Nilo De Castro Reyes

  • Family Nurse Practitioner
  • Bellflower, CA
National Provider Identifier
1770117020
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95013877 Issued in CA
Practice address
17677 Sarentina CT
Bellflower, CA 90706-7035
Phone
(562) 508-2515
NPI assigned
Feb 26, 2020
Last updated
Feb 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95013877 CA Primary

Addresses

Primary practice location

17677 Sarentina CT
Bellflower, CA 90706-7035

Mailing address

17677 Sarentina CT
Bellflower, CA 90706-7035
Phone (562) 508-2515

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250702000828 CA Practitioner - Nurse Practitioner 9638682693 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Saving Our Skin Wound Care PCGroup PAC ID 9638671670, 2 clinicians
Goldencrest Primary CareGroup PAC ID 2860984978, 5 clinicians
Allied of California Medical GroupGroup PAC ID 1951807726, 3 clinicians

Practice addresses (Care Compare)

Cerritos, CA 90703
Phone (562) 410-7465

San Bernardino, CA 92408
Phone (909) 751-4408

Corona, CA 92878
Phone (323) 763-5368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95013877CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prudent Healthcare Services Nursing CurrentSince Apr 6, 2025 Accepting new patients
Saving Our Skin Wound Care PC CurrentSince Nov 1, 2025 Accepting new patients
Allied of California Medical Group CurrentSince Aug 1, 2025 Accepting new patients
Community Care Mobile Doctors CurrentSince Oct 1, 2025 Accepting new patients
Concierge Healthcare Services CurrentSince Sep 20, 2025 Accepting new patients
Wound Rescue Specialist CurrentSince Sep 1, 2025 Accepting new patients
Jem Hospice Corporation PastSince Mar 7, 2021 Accepting new patients

Locations

421 N Brookhurst St
Ste 228C
Anaheim, CA 92801
Phone (714) 765-2978

421 N Brookhurst St
Ste 224
Anaheim, CA 92801
Phone (562) 306-9739

1631 Pomona Rd
Ste 206
Corona, CA 92878
Phone (323) 763-5368

275 W Hospitality Ln
Ste 314
Sn Bernrdno, CA 92408
Phone (956) 245-2275

275 W Hospitality Ln
Ste 317
Sn Bernrdno, CA 92408
Phone (909) 763-3363

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1770117020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17677 SARENTINA CT",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907067035",
            "telephone_number": "562-508-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17677 SARENTINA CT",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907067035",
            "telephone_number": "562-508-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "NILO",
        "middle_name": "DE CASTRO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

Verify at the official NPI Registry.