NPI 1003165135
Juan Casillas, NP
Practice location
- Address
- 1411 E 31st St, Oakland, CA 94602-1018
- Phone
- (510) 437-4800
Registered specialties (2)
Family Nurse Practitioner
Primary
Registered Nurse
Registry record
- NPI
- 1003165135
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Sep 2012
- Record last updated
- 27 Oct 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.