Provider Demographics
NPI:1396208245
Name:CASTRO, ANA
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:CASTRO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4101 EASTON DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-1021
Mailing Address - Country:US
Mailing Address - Phone:661-633-1700
Mailing Address - Fax:661-633-1785
Practice Address - Street 1:4101 EASTON DR
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-1021
Practice Address - Country:US
Practice Address - Phone:661-633-1700
Practice Address - Fax:661-633-1785
Is Sole Proprietor?:No
Enumeration Date:2019-04-08
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker