Individual provider Active NPI

Mayra Kytzya Casillas, NP

  • Family Nurse Practitioner
  • El Centro, CA
National Provider Identifier
1851174494
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95025717 Issued in CA
Practice address
790 W Orange Ave Ste B
El Centro, CA 92243-3274
Phone
(760) 353-3222
NPI assigned
Aug 16, 2023
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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 NP95025717 CA Primary

Addresses

Primary practice location

790 W Orange Ave Ste B
El Centro, CA 92243-3274

Mailing address

435 W Aten Rd Ste 2
Imperial, CA 92251-9819
Phone (760) 879-8590

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
I20240425001397 CA Practitioner - Nurse Practitioner 1456791359 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Deen Enterprises Medical CorporationGroup PAC ID 5395197628, 4 clinicians

Practice addresses (Care Compare)

435 W Aten Rd
Suite 2
Imperial, CA 92251-9819
Phone (760) 879-8590

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95025717CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial County Physicians Medical Group Clinic CurrentSince Apr 1, 2024 Accepting new patients
Deen Enterprises Medical Corporation CurrentSince Apr 1, 2025 Accepting new patients
Masoud Afshar MD Inc CurrentSince Apr 1, 2024 Accepting new patients
Imperial Valley Podiatry Associates Inc PastSince Jun 1, 2003 Accepting new patients

Locations

1503 N Imperial Ave
Ste 105A
El Centro, CA 92243
Phone (442) 231-8915

1590 S Imperial Ave
El Centro, CA 92243
Phone (760) 352-2551

220 N Imperial Ave
Imperial, CA 92251
Phone (442) 239-4478

435 W Aten Rd
Ste 2
Imperial, CA 92251
Phone (760) 879-8590

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFGADD

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1851174494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 W ATEN RD STE 2",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922519819",
            "telephone_number": "760-879-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 W ORANGE AVE STE B",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433274",
            "telephone_number": "760-353-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASILLAS",
        "first_name": "MAYRA",
        "middle_name": "KYTZYA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95025717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

Verify at the official NPI Registry.