MR. ROBERT CASTILLO (NPI# 1417938994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417938994 |
| Entity Type | Individual |
| Full Name | MR. ROBERT CASTILLO |
| Credential | M.D. |
| Practice Address |
275 W Herndon Ave Clovis CA 93612-0204 |
| Mailing Address |
Po Box 28949 Fresno CA 93729-8949 |
| Practice Telephone | 5593246200 |
| Practice Fax Number | 5593246280 |
| Mailing Telephone | 5592284200 |
| Mailing Fax Number | 5592243920 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2020-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G56119 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE CROSS/BLUE SHIELD | 00G561190 | 01 |
| CA | 00G561190 | 05 | |
| CA | CHAMPUS | 77040368493612B019 | 01 |
| CA | RAILROAD MEDICARE | 110125077 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497771166 | Robert Castillo | Podiatrist | 1314 E Sonterra Blvd Ste 302, San Antonio, TX 78258 | 2006-07-14 |
| 1396799128 | Robert Manuel Castillo | General Practice | 4302 Center Street, Houston, TX 77007-5616 | 2006-05-19 |
| 1396210746 | Robert Castillo | Social Worker | 3323 Shattuck Rd Ste 1, Saginaw, MI 48603-3184 | 2018-10-11 |
| 1053728493 | Robert Castillo | Rehabilitation Practitioner | 333 S Beaudry Ave, Los Angeles, CA 90017-1466 | 2014-07-17 |
| 1033546726 | Robert Conrad Castillo | Military Health Care Provider | 1st Marine Special Operations Battalion, Bld. 4100377, Camp Pendleton, CA 92055-5341 | 2013-09-26 |
| 1346476587 | Robert Anthony Castillo Sr. | Counselor | 5723 Whittier Blvd, Los Angeles, CA 90022-4222 | 2009-06-02 |
| 1063421980 | Robert Castillo | Pediatrics | 2220 Clark Ave, Long Beach, CA 90815-2521 | 2006-08-07 |
| Street Address |
275 W HERNDON AVE |
| City | CLOVIS |
| State | CA |
| Zip Code | 93612-0204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194716563 | Jennifer Kristin Nay | Physician Assistant | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2005-11-03 |
| 1548740459 | Sia Lee | Nurse Practitioner | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2018-08-20 |
| 1912369927 | Jesse Adam Alifano | Pediatrics | 275 W Herndon Ave, Clovis, CA 93612 | 2016-03-28 |
| 1952760308 | Clovis Dermatology, Inc | Clinic/Center | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2016-02-14 |
| 1083093975 | Joyalene Onn Lin Ng Hiersche | Nurse Practitioner | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2015-05-25 |
| 1164857058 | Victor O Gunn | Physician Assistant | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2013-09-10 |
| 1649510330 | Krystal Fosse | Nurse Practitioner | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2013-02-18 |
| 1619215837 | Amitasha Mann | Internal Medicine | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2013-01-23 |
| 1457656225 | Peachwood Aesthetic Skincare Center Inc. | Dermatology | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2011-01-25 |
| 1699933952 | Harjagjit Singh Maan | Family Medicine | 275 W Herndon Ave, Clovis, CA 93612-0204 | 2008-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235778002 | Prieto Dental Corporation | Dentist | 2320 Clovis Avenue, Suite 102, Clovis, CA 93612 | 2019-12-27 |
| 1285190827 | Natividad Casillas | Behavior Technician | 20 N Dewitt, Clovis, CA 93612 | 2019-02-19 |
| 1922578988 | Benjamin Harold Davis Jr. | Behavior Technician | Swans Consulting, 20 N Dewitt Ave, Clovis, CA 93612 | 2018-12-03 |
| 1134620651 | Innovative Development & Living Solutions of California | Assisted Living Facility | 32 West Sierra Ave, Clovis, CA 93612 | 2018-02-21 |
| 1427578616 | Mariamajane Sengsiri | Licensed Vocational Nurse | 1244 Estabrook Ave., Clovis, CA 93612 | 2017-06-20 |
| 1417482464 | Tiffanie Guy | Pharmacist | 2810 Willow Ave Apt 206, Clovis, CA 93612 | 2017-04-27 |
| 1194271833 | Daniel Salinas | Specialist/Technologist | 1712 Harvard Ave., Clovis, CA 93612 | 2016-09-01 |
| 1386071447 | Darra Hirsh | Psychologist | 334 Shaw Ave Ste 100, Clovis, CA 93612 | 2013-10-03 |
| 1437400793 | Bashful Elephant | Counselor | 3097 Willow Suite 4, Clovis, CA 93612 | 2012-09-27 |
| 1588930432 | Nghiem Gia Vu | Pharmacist | 695 W Herdn Ave, Clovis, CA 93612 | 2012-03-26 |
| Find all providers in zip 93612 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225660871 | Mercy Seyi Ayodele | Family Medicine | 55 Shaw Ave Ste 207, Clovis, CA 93612-3819 | 2020-02-11 |
| 1932671005 | Jennifer Lynn Marmolejo | Family Medicine | 2552 Richert Ave, Clovis, CA 93611-6014 | 2018-12-29 |
| 1396210563 | Green Sports Medicine Inc | Family Medicine | 2021 Herndon Ave Ste 201, Clovis, CA 93611-6101 | 2018-10-03 |
| 1023429412 | Nadia Javaid | Family Medicine | 2006 Shaw Ave Ste 101, Clovis, CA 93611-4192 | 2014-05-19 |
| 1821371022 | Erick Joseph Green Jr. | Family Medicine | 2021 Herndon Ave # 101, Clovis, CA 93611-6101 | 2011-09-23 |
| 1760667133 | Larry Lowry | Family Medicine | 208 Sandzen Dr, Clovis, NM 88101-2310 | 2008-01-04 |
| 1265620728 | Gurdaver Singh Dhaliwal | Family Medicine | 1555 Shaw Ave, Ste 101, Clovis, CA 93611-4096 | 2007-10-10 |
| 1225250087 | G&j Roth Prof Corp. | Family Medicine | 255 W Bullard Ave Ste 102, Clovis, CA 93612-0861 | 2007-05-02 |
| 1023231057 | Meenakshi Dhingra | Family Medicine | 2740 Herndon Ave, Clovis, CA 93611-6813 | 2007-04-10 |
| 1588789788 | Anthony W Montana | Family Medicine | 688 Medical Center Dr E Ste 104, Clovis, CA 93611-6807 | 2007-03-20 |
| Find all providers in CLOVIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.