Healthcare Provider Details

I. General information

NPI: 1649103318
Provider Name (Legal Business Name): ADONNA CASTRO MORONA NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ADONNA MARIE CASTRO MORONA NP

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4413 SHASTA PL
EL MONTE CA
91731-1529
US

IV. Provider business mailing address

4413 SHASTA PL
EL MONTE CA
91731-1529
US

V. Phone/Fax

Practice location:
  • Phone: 626-315-5205
  • Fax:
Mailing address:
  • Phone: 626-315-5205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number690758
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: