Healthcare Provider Details

I. General information

NPI: 1437583796
Provider Name (Legal Business Name): GABRIEL EDWARD CASTILLO RN, NP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2013
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3810 ROSIN CT STE 170
SACRAMENTO CA
95834-1656
US

IV. Provider business mailing address

3628 MADISON AVE STE 6
NORTH HIGHLANDS CA
95660-5070
US

V. Phone/Fax

Practice location:
  • Phone: 916-567-4222
  • Fax:
Mailing address:
  • Phone: 916-224-0000
  • Fax: 916-388-3232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95001287
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number752189
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: