Provider Demographics
NPI:1437190071
Name:CASTANO, NEREMIAH JOAKIM SANCHEZ (MSN, RN (NP/CNS/PHN))
Entity Type:Individual
Prefix:MR
First Name:NEREMIAH JOAKIM
Middle Name:SANCHEZ
Last Name:CASTANO
Suffix:
Gender:M
Credentials:MSN, RN (NP/CNS/PHN)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3855 HEALTH SCIENCES DR
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92093-0658
Mailing Address - Country:US
Mailing Address - Phone:858-822-7874
Mailing Address - Fax:
Practice Address - Street 1:3855 HEALTH SCIENCES DR
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92093-0658
Practice Address - Country:US
Practice Address - Phone:858-822-7874
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA624341163W00000X
CA3191364S00000X
CA18985363LA2200X
CA66882163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
No364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
No163WH0200XNursing Service ProvidersRegistered NurseHome Health