Healthcare Provider Details

I. General information

NPI: 1801774302
Provider Name (Legal Business Name): TAMARA CASTILLO-GARCIA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2025
Last Update Date: 08/22/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 RIDER AVE
SALINAS CA
93905-1263
US

IV. Provider business mailing address

317 7TH ST
GREENFIELD CA
93927-5113
US

V. Phone/Fax

Practice location:
  • Phone: 831-753-5740
  • Fax:
Mailing address:
  • Phone: 831-998-3052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: