Individual provider Active NPI

Evelina Castillo, AOD

  • Addiction (Substance Use Disorder) Counselor
  • Fresno, CA
National Provider Identifier
1841939956
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
14387-RAC Issued in CA
Practice address
1235 E St
Fresno, CA 93706-2024
Phone
(559) 268-6261
NPI assigned
May 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 14387-RAC CA Primary

Addresses

Primary practice location

1235 E St
Fresno, CA 93706-2024

Mailing address

197 W Whittaker Way
Dinuba, CA 93618-2130
Phone (559) 280-7165

Other practice location 1

539 N Van Ness Ave
Fresno, CA 93728-3419
Phone (559) 266-9581

Other practice location 2

1803 Broadway St
Fresno, CA 93721-1047
Phone (559) 268-6475

Other names 1

  • Miss Evelina Castillo Other name

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
14387-RACCAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1841939956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 W WHITTAKER WAY",
            "city": "DINUBA",
            "state": "CA",
            "postal_code": "936182130",
            "telephone_number": "559-280-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 E ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937062024",
            "telephone_number": "559-268-6261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "539 N Van Ness Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937283419",
            "country_code": "US",
            "telephone_number": "559-266-9581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1803 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937211047",
            "country_code": "US",
            "telephone_number": "559-268-6475",
            "fax_number": "559-268-6967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "EVELINA",
        "name_prefix": "Miss",
        "credential": "AOD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "14387-RAC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVELINA",
            "last_name": "CASTILLO",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.