Healthcare Provider Details

I. General information

NPI: 1497778443
Provider Name (Legal Business Name): CASTLE FAMILY HEALTH CENTERS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1251 GROVE AVENUE
ATWATER CA
95301
US

IV. Provider business mailing address

3605 HOSPITAL ROAD
ATWATER CA
95301
US

V. Phone/Fax

Practice location:
  • Phone: 209-381-2000
  • Fax: 209-722-9020
Mailing address:
  • Phone: 209-381-2000
  • Fax: 209-722-9020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. PETER MOJARRAS
Title or Position: CEO
Credential:
Phone: 209-381-2000