VIVERE JABONILLO CASTRO
NPI 1154087641
Nurse Practitioner - Family in West Covina, CA

Active since November 09, 2021PECOS EnrolledAccepts Medicare Assignment
1115 S SUNSET AVE STE 200, WEST COVINA, CA 91790(626) 732-8390 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2024, Nov 9, 2021 (2 updates tracked since 2021).

About Vivere Jabonillo Castro NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIVERE JABONILLO CASTRO (NPI 1154087641) is an individual family provider in West Covina, California, licensed in California (95019100) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fontana, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1154087641
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameVIVERE JABONILLO CASTRO
Location Address1115 S SUNSET AVE STE 200West Covina, CA 91790-3940
Mailing Address14011 Park AveVictorville, CA 92392-2413 · (833) 574-2273
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 9, 2021
Last NPPES UpdateMay 7, 20242 updates tracked since enumeration
NPPES CertifiedNovember 21, 2023
NPI 1154087641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95019100
1115 S SUNSET AVE STE 200, West Covina, CA 91790

Secondary Practice Location 1

Location 19961 Sierra AveFontana, CA 92335-6720 · Phone (909) 302-6254

Other Identifiers 1

Other95019100Fnp License Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Vivere Jabonillo Castro is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466816368
PECOS Enrollment IDI20230911003708
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91790 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1115 S SUNSET AVE STE 200
WEST COVINA, CA 91790
Internal Medicine (Hematology & Oncology)
1115 S SUNSET AVE STE 200
WEST COVINA, CA 91790
Physician Assistant
1115 S SUNSET AVE STE 200
WEST COVINA, CA 91790
Pharmacist
1115 S SUNSET AVE STE 200
WEST COVINA, CA 91790
Internal Medicine
1115 S SUNSET AVE STE 200
WEST COVINA, CA 91790
Pain Medicine (Pain Medicine)
1115 S SUNSET AVE STE 200
WEST COVINA, CA 91790
Nurse Practitioner (Family)
1115 S SUNSET AVE STE 200
WEST COVINA, CA 91790
Psychiatry & Neurology (Neurology)
1115 S SUNSET AVE STE 200
WEST COVINA, CA 91790

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivere Castro's NPI number?

The NPI number for Vivere Castro is 1154087641. It was assigned to this individual provider in the NPPES registry on November 9, 2021.

Where is Vivere Castro located?

Vivere Castro practices at 1115 S Sunset Ave Ste 200, West Covina, CA 91790. The listed phone number is (626) 732-8390.

What is Vivere Castro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Vivere Castro enrolled in Medicare?

Yes. Vivere Castro is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Vivere Castro was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.