Individual provider Active NPI

Dahlia Elizabeth Perez Castillo, FNP

  • Family Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1770295131
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95023348 Issued in CA
Practice address
5385 Franklin Blvd Ste K
Sacramento, CA 95820-4717
Phone
(916) 454-2345
NPI assigned
Dec 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95023348 CA
Family Nurse Practitioner 363LF0000X 95023348 CA Primary

Addresses

Primary practice location

5385 Franklin Blvd Ste K
Sacramento, CA 95820-4717

Mailing address

1860 Howe Ave Ste 440
Sacramento, CA 95825-1098
Phone (916) 569-8484

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
I20230203001237 CA Practitioner - Nurse Practitioner 8325410129 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95023348CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elica Health Centers CurrentSince Jan 24, 2023 Accepting new patients
Elica Health Centers Current Accepting new patients
Elica Health Centers CurrentSince Jan 24, 2023 Accepting new patients

Locations

5385 Franklin Blvd
Ste K
Sacramento, CA 95820
Phone (916) 428-0656

3701 J St
Ste 201
Sacramento, CA 95816

1750 Wright St
Ste 1
Sacramento, CA 95825

1860 Howe Ave
Ste 440
Sacramento, CA 95825

155 15th St
Ste A
West Sacramento, CA 95691
Phone (916) 375-8981

1276 Halyard Dr
West Sacramento, CA 95691

Interoperability endpoints

  • Direct secure messaging: dahlia.perezhiggins.p1@direct.peachtreehealth.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1671148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1770295131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 HOWE AVE STE 440",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251098",
            "telephone_number": "916-569-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5385 FRANKLIN BLVD STE K",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958204717",
            "telephone_number": "916-454-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ CASTILLO",
        "first_name": "DAHLIA",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-16",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95023348",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.