Mr. Juan Casillas JR.
Nurse Practitioner - Family Medicine
222 W 39th Ave
San Mateo
, California 94403-4364
Mr. Juan Casillas JR.
Nurse Practitioner - Family Medicine
222 W 39th Ave
San Mateo
, California 94403-4364
(650) 573-2214
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mr. Juan Casillas JR.
- 222 W 39th Ave
- San Mateo, CA
- Zip : 94403-4364
- Fax : (650) 573-2214
- Phone : (650) 573-2669
Second Address
- Mr. Juan Casillas JR.
- 222 W 39th Ave
- San Mateo, CA
- Zip : 94403-4364
- Fax : (650) 573-2214
- Phone : (650) 573-2669
Reviews
FAQs
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Where did Mr. Juan Casillas JR. do his residency?
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What type of doctor is Mr. Juan Casillas JR.
In what state does Mr. Juan Casillas JR. practice in?
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What is Mr. Juan Casillas JR.’s gender?
Is Mr. Juan Casillas JR. a sole practitioner?
Is Mr. Juan Casillas JR. accepting new patients?
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Does Mr. Juan Casillas JR. accept insurance?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 22074 | CA |
National Provider Identifier
| NPI | 1003165135 |
|---|---|
| Provider Name | Mr. Juan Casillas JR. |
| First Address | San Mateo, CA 94403-4364 |
| Second Address | San Mateo, CA 94403-4364 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/09/2012 |
| Last Update Date | 19/09/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1679642326 | MEDICAL PROVIDER (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.