Healthcare Provider Details

I. General information

NPI: 1760669915
Provider Name (Legal Business Name): JAVIER CASTRO JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2008
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 WATT AVE STE B
SACRAMENTO CA
95825-0505
US

IV. Provider business mailing address

7000 FRANKLIN BLVD STE 140
SACRAMENTO CA
95823-1858
US

V. Phone/Fax

Practice location:
  • Phone: 916-393-1222
  • Fax:
Mailing address:
  • Phone: 916-627-8790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: