Healthcare Provider Details

I. General information

NPI: 1396382206
Provider Name (Legal Business Name): OSCAR BRIAN CASTILLO NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2019
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2719 N AIR FRESNO DR
FRESNO CA
93727-1547
US

IV. Provider business mailing address

1255 W COLTON AVE # 521
REDLANDS CA
92374-2861
US

V. Phone/Fax

Practice location:
  • Phone: 559-600-9060
  • Fax:
Mailing address:
  • Phone: 840-219-6064
  • Fax: 213-566-1026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11017450
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95013959
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95013959
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: