Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vivere Jabonillo Castro

Individual provider Family Nurse Practitioner · NPI 1154087641

Vivere Jabonillo Castro is a Nurse Practitioner in West Covina, California. Qualified in 2021, 5 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
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Practice location Address checks out

1115 S Sunset Ave Ste 200
West Covina, CA 91790-3940
Phone: (626) 732-8390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9961 Sierra Ave, Fontana, CA 92335-6720 — (909) 302-6254

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95019100 (CA)

Record details

NPI number1154087641
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 9, 2021
Last updated in NPPESMay 7, 2024
Certification dateNovember 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in West Covina