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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: November 01, 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
Phone(626) 732-8390
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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Vivere Castro reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emanate Health Medical Care Foundation
0.2 mi
Multi-Specialty
1135 S SUNSET AVE STE 401
West Covina, CA 91790
  • Reassigned Medicare billing, California enrollment
  • 114 clinicians in this Medicare group
NPI 1467195073 (626) 732-0394
Emanate Health Medical Group
3.7 mi
General Practice
210 W SAN BERNARDINO RD
Covina, CA 91723
  • Reassigned Medicare billing, California enrollment
  • 70 clinicians in this Medicare group
NPI 1881054997 (626) 858-8580
Southern California Permanente Medical Group
12 mi
Clinical Medical Laboratory
13000 PEYTON DR
Chino Hills, CA 91709
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1396287082 (888) 750-0036

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

FU-CHENG CHUANG M.D.
Internal Medicine
1115 S SUNSET AVE STE 200
WEST COVINA, CA 91790
Los Angeles County (626) 732-8390
DR. MICHELLE EL-HAJJAOUI DO
Internal Medicine (Hematology & Oncology)
1115 S SUNSET AVE STE 200
WEST COVINA, CA 91790
Los Angeles County (626) 732-8390
LISA YEUNG MS, PA-C
Physician Assistant
1115 S SUNSET AVE STE 200
WEST COVINA, CA 91790
Los Angeles County (626) 732-8390
MICHELLE WANG PHARMD, BCPS
Pharmacist
1115 S SUNSET AVE STE 200
WEST COVINA, CA 91790
Los Angeles County (626) 732-8390
JOHN Z WANG M.D., PH.D.
Internal Medicine
1115 S SUNSET AVE STE 200
WEST COVINA, CA 91790
Los Angeles County (626) 732-8390
DR. NATHAN GEORGE ABDELSAYED M.D
Pain Medicine (Pain Medicine)
1115 S SUNSET AVE STE 200
WEST COVINA, CA 91790
Los Angeles County (626) 732-8395
SHEILA DE JESUS-MARANAN FNP
Nurse Practitioner (Family)
1115 S SUNSET AVE STE 200
WEST COVINA, CA 91790
Los Angeles County (626) 732-8390
JAGAT SHETTY MD
Psychiatry & Neurology (Neurology)
1115 S SUNSET AVE STE 200
WEST COVINA, CA 91790
Los Angeles County (626) 732-8390

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.

Which organizations bill Medicare for Vivere Castro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vivere Castro reassigns Medicare benefits to 3 organizations: Emanate Health Medical Care Foundation (West Covina, CA), Emanate Health Medical Group (Covina, CA) and Southern California Permanente Medical Group (Chino Hills, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vivere Castro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.