JOHN CASTILLO — NPI 1205494267 (Licensed & Credentialed Licensed Psychiatric Technician in EXETER, CA)

CMS-1500 Box 24J / 33a • NPI

1205494267

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

167G00000X

Licensed & Credentialed Licensed Psychiatric Technician

Box 32 Service Location & ZIP+4

1230 N ANDERSON RD, EXETER, CA, 93221-9674

✓ 9-Digit EDI 837 ZIP+4 (93221-9674)

Practice Phone & Referral Fax

(559) 594-4855

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1205494267 (JOHN CASTILLO) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1205494267` (NPI-1 Individual Practitioner)
Provider / Legal Name	JOHN CASTILLO
Plain-English Specialty	Licensed & Credentialed Licensed Psychiatric Technician NUCC Code: `167G00000X` (Licensed Psychiatric Technician)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1230 N ANDERSON RD, EXETER, CA, 93221-9674
Practice Telephone / Fax	Tel: (559) 594-4855
Administrative Mailing Address	1230 N ANDERSON RD, EXETER, CA, 93221-9674
Enumeration & Last Sync	Enumerated: 2019-06-04 \| CMS Record Updated: 2019-06-04

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1230 N ANDERSON RD, EXETER, CA, 93221-9674

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Plain-English Taxonomy & CMS Crosswalk (167G00000X)

What Does Taxonomy Code 167G00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 167G00000X translates to:
"Licensed & Credentialed Licensed Psychiatric Technician"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Licensed Psychiatric Technician for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JOHN CASTILLO)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`167G00000X` — Licensed Psychiatric Technician Plain English: Licensed & Credentialed Licensed Psychiatric Technician	State: CA \| License: `36179` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JOHN CASTILLO (NPI #1205494267)