RAE ANN CASTILLO (NPI# 1417365784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417365784 |
| Entity Type | Individual |
| Full Name | RAE ANN CASTILLO |
| Practice Address |
5153 Mount Helena Ave Los Angeles CA 90041-2330 |
| Practice Telephone | 3232578399 |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2014-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
95001011 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SA2100X |
Clinical Nurse Specialist Specialization: Acute Care |
4164 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5153 MOUNT HELENA AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90041-2330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457994501 | Josephine Villanueva | Technician | 4433 Eagle Rock Blvd. #113, Los Angeles, CA 90041 | 2019-10-22 |
| 1457862484 | Maria Susana Espino Gonzales | Physiological Laboratory | 5264 Lockhaven Ave, Los Angeles, CA 90041 | 2017-10-17 |
| 1407366602 | Tuan H Phan | Pharmacist | 4414 Yolk Boulevard, Los Angeles, CA 90041 | 2017-10-03 |
| 1194195164 | College Vista, LLC | Skilled Nursing Facility | 4681 North Eagle Rock Blvd, Los Angeles, CA 90041 | 2015-10-02 |
| 1346640026 | Angelynn Hermes | Social Worker | 850 Colorado Blvd Ste 102, Los Angeles, CA 90041 | 2014-08-29 |
| 1205181179 | Michael E Ignacio | Dentist | 1916 W. Colorado, Los Angeles, CA 90041 | 2012-07-17 |
| 1093074999 | Marilyn Henry Murphy | Psychologist | 4368 Eagle Rock Boulevard, Los Angeles, CA 90041 | 2012-05-11 |
| 1235434911 | Mohammad Khaknegar | Dentist | 2455 Colorado Blvd., #16, Los Angeles, CA 90041 | 2011-01-11 |
| 1174844088 | Ileana Escobedo | Marriage & Family Therapist | 1551 Waldran Ave, Los Angeles, CA 90041 | 2010-06-15 |
| 1649404963 | Metro Healthcare Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 4515 Eagle Rock Blvd., Ste 111-c, Los Angeles, CA 90041 | 2009-05-14 |
| Find all providers in zip 90041 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538775093 | David Lee | Nurse Practitioner | 5710 S Glennie Ln Apt A, Los Angeles, CA 90016-1063 | 2020-09-21 |
| 1679123426 | Joanne Lan Yun Yang | Nurse Practitioner | 1540 Alcazar St Ste 215, Los Angeles, CA 90089-1029 | 2019-09-13 |
| 1265085773 | Linda M Kim | Nurse Practitioner | 1123 S Windsor Blvd, Los Angeles, CA 90019-3158 | 2019-07-23 |
| 1780157032 | Ana Valentinova Tchicaya | Nurse Practitioner | 300 Stein Plaza, Los Angeles, CA 90009 | 2019-01-09 |
| 1518435288 | Sariya Chayutipun | Nurse Practitioner | 2955 Veteran Ave, Los Angeles, CA 90064-9006 | 2018-11-11 |
| 1659856284 | Leticia Mendez | Nurse Practitioner | 1300 N Vermont Ave 606, Los Angeles, CA 90027 | 2018-09-29 |
| 1427531490 | Izabela Harutyunyan | Nurse Practitioner | 127 S San Vicente Blvd Ste A3629, Los Angeles, CA 90048-3311 | 2018-09-14 |
| 1265923155 | Rose Moss | Nurse Practitioner | Ronald Regan Ucla Medical Center 757 Westwood Plaza, Los Angeles, CA 90095-1003 | 2018-05-25 |
| 1821514811 | Simran Grewal | Nurse Practitioner | 127 S San Vicente Blvd Ste A6100, Los Angeles, CA 90048-3311 | 2017-08-21 |
| 1902320450 | Arielle Donner | Nurse Practitioner | 8540 S Sepulveda Blvd Ste 1010, Los Angeles, CA 90045-3808 | 2017-07-26 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90041 |
Please comment or provide details below to improve the information on RAE ANN CASTILLO.
| 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.