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NPI Code Detail

MEDICARE: OSCAR BRIAN CASTILLO NP

MEDICARE: OSCAR BRIAN CASTILLO NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner95013959CA
2363LF0000XFamily Nurse PractitionerAPRN11017450FL
3363LF0000XFamily Nurse Practitioner95013959CA

General Provider Information

NPI Number : 1396382206
Entity Type Code : Individual
Provider Name (Legal Business Name) : OSCAR BRIAN CASTILLO NP
Provider Business Mailing Address
First Line : 1050 UNIVERSITY AVE SUITE E107 #876
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-3359
Country : US
Telephone Number : 909-312-6457
Fax Number : 213-566-1026
Provider Business Practice Location Address
First Line : 2719 N AIR FRESNO DR
Second Line :
City : FRESNO
State : CA
Zip : 93727-1547
Country : US
Telephone Number : 559-600-9060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2019
Last Update Date : 01/20/2026

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Directions to “ OSCAR BRIAN CASTILLO NP” Practice Location

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