Healthcare Provider Details

I. General information

NPI: 1992651947
Provider Name (Legal Business Name): JASMINE CHANTAL CASTILLO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83948 HOPI AVE
INDIO CA
92203-2661
US

IV. Provider business mailing address

83948 HOPI AVE
INDIO CA
92203-2661
US

V. Phone/Fax

Practice location:
  • Phone: 760-905-2491
  • Fax:
Mailing address:
  • Phone: 760-905-2491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: