Active NPI
Marilyn Castillo
- Attendant Care Provider
- San Diego, CA
National Provider Identifier
1801554134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Practice address
- 4930 Wyconda LN
San Diego, CA 92113-3565 - Phone
- (619) 586-0772
- NPI assigned
- Dec 3, 2021
- 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 |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Primary |
Addresses
Primary practice location
4930 Wyconda LN
San Diego, CA 92113-3565
Mailing address
4010 Peterlynn CT
San Diego, CA 92154-3750
Phone (626) 926-0511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B6716299 | Other | DRIVER LICENSE |
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": "1638489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638489600000",
"number": "1801554134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 PETERLYNN CT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921543750",
"telephone_number": "626-926-0511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4930 WYCONDA LN",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921133565",
"telephone_number": "619-586-0772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "MARILYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-03",
"last_updated": "2021-12-03",
"certification_date": "2021-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "B6716299",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.