Healthcare Provider Details

I. General information

NPI: 1982546586
Provider Name (Legal Business Name): MARY CATHERINE ESMANE CASILA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4880 MARKET STREET, VENTURA, CA 93003 4880 MARKET STREET
OXNARD CA
93033-7172
US

IV. Provider business mailing address

4880 MARKET STREET, VENTURA, CA 93003 4880 MARKET STREET
OXNARD CA
93033-7172
US

V. Phone/Fax

Practice location:
  • Phone: 805-702-5930
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: