Jessica Janel Castro

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95023633 Issued in CA

Practice address

1019 Crystal Springs Dr
Vacaville, CA 95688-8744

Phone

(402) 917-6163

NPI assigned

Dec 20, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jessica Janel Lichvar Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1942018080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 CRYSTAL SPRINGS DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956888744",
            "telephone_number": "402-917-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 CRYSTAL SPRINGS DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956888744",
            "telephone_number": "402-917-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "JESSICA",
        "middle_name": "JANEL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95023633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LICHVAR",
            "middle_name": "JANEL",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Castaneda
• Anne J Castillo, RRT
• Drew Michelle Castillo, MD
• Michael Almonical Castillo
• Joy Elizabeth Muraki Castrejon, LCSW
• Vincis Casuga, PHARM.D.
• Allison Lynne Catapano, D.C.
• John A Catapano, D.C.
• Tyler Robert Cavett
• Angelina Marie Cervantes

• Nurse Practitioner in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.