Provider Demographics
NPI:1639428659
Name:DEVEYRA, NAPOLEON JOSE CASTILLO (RN, PHN, NP)
Entity Type:Individual
Prefix:MR
First Name:NAPOLEON
Middle Name:JOSE CASTILLO
Last Name:DEVEYRA
Suffix:
Gender:M
Credentials:RN, PHN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 11TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-3732
Mailing Address - Country:US
Mailing Address - Phone:415-355-0311
Mailing Address - Fax:
Practice Address - Street 1:60 MADISON AVE
Practice Address - Street 2:5TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010
Practice Address - Country:US
Practice Address - Phone:212-545-2400
Practice Address - Fax:646-312-0481
Is Sole Proprietor?:No
Enumeration Date:2012-09-05
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY723101163W00000X
CA781326163WP0808X
NY402111363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00695941Medicaid
WI331946Medicare Oscar/Certification
WI331952Medicare Oscar/Certification
WI331943Medicare Oscar/Certification
NY00695941Medicaid
WI331058Medicare Oscar/Certification
NYW6L111Medicare Oscar/Certification
WI331947Medicare Oscar/Certification
WI331978Medicare Oscar/Certification
NYG100000410Medicare Oscar/Certification
WI331009Medicare Oscar/Certification
WI331944Medicare Oscar/Certification
WI331954Medicare Oscar/Certification
WI331945Medicare Oscar/Certification