Individual provider Active NPI

Dianne J Castillano

  • Psychologist
  • Daly City, CA
National Provider Identifier
1831683275
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
180103572 Issued in CA
Practice address
700 Stewart Ave
Daly City, CA 94015-3519
Phone
(650) 746-2701
NPI assigned
Jun 19, 2018
Last updated
Jun 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 180103572 CA Primary

Addresses

Primary practice location

700 Stewart Ave
Daly City, CA 94015-3519

Mailing address

700 Stewart Ave
Daly City, CA 94015-3519
Phone (650) 746-2701

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

State licenses

LicenseStateTypeSpecialty
180103572CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1831683275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 STEWART AVE",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940153519",
            "telephone_number": "650-746-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 STEWART AVE",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940153519",
            "telephone_number": "650-746-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLANO",
        "first_name": "DIANNE",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "180103572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.