Jennifer R Castillo, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

95190439 Issued in CA

Practice address

712 Larkspur CT
San Marcos, CA 92078-7906

Phone

(949) 207-8054

NPI assigned

Jun 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.castillo.1@29786.direct.athenahealth.com

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.

• Housecall Doctors Medical Group Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Long Beach, CA
  • NPI 1033164017
  Medicare reassignment NPD

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1912568502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 LARKSPUR CT",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920787906",
            "telephone_number": "949-207-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 LARKSPUR CT",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920787906",
            "telephone_number": "949-207-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "95190439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Kiralyfalvi Casillas, AUD.
• Summer Casson, PHARM D
• Mariela Castellano-Arredondo
• Kenya Castellanos, LM, CPM
• Aylin Castillo Macedo
• Renae N Castillo
• Marquessa Marie Castorena
• Dominic Castro
• Rolando Castro, PT
• Michele L. Cataline-Becker, R.N.

• General Practice Registered Nurse in San Marcos, CA
• Providers in San Marcos, CA by specialty
• General Practice Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.