| Castillo Care Center | |
|
5405 W Hillsdale Ave Visalia CA 93291-5156 | |
| (559) 556-5591 | |
| (888) 720-1716 |
| Full Name | Castillo Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | 5405 W Hillsdale Ave, Visalia, California |
| Authorized Official Name and Position | Fausto Castillo (OWNER) |
| Authorized Official Contact | 3239799404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Castillo Care Center 5405 W Hillsdale Ave Visalia CA 93291-5156 Ph: (559) 556-5591 | Castillo Care Center 5405 W Hillsdale Ave Visalia CA 93291-5156 Ph: (559) 556-5591 |
| NPI Number | 1245945203 |
|---|---|
| Provider Enumeration Date | 01/13/2023 |
| Last Update Date | 07/29/2024 |
| Medicare PECOS PAC ID | 2567827348 |
|---|---|
| Medicare Enrollment ID | O20230501000625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245945203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Fausto J J Castillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780115972 PECOS PAC ID: 2264856616 Enrollment ID: I20201217001850 |
| Provider Name | Padma Ganesh Nayak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821596974 PECOS PAC ID: 8628331519 Enrollment ID: I20230511003318 |
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