Individual provider Active NPI

Manuel Ramon Mota-Castillo, MD

  • Psychiatry Physician
  • Gardena, CA
National Provider Identifier
1003867698
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME82747 Issued in FL
Practice address
1225 W 190TH St Ste 280
Gardena, CA 90248-4305
Phone
(877) 515-8113
Fax
(877) 538-2102
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 154305 CA
Psychiatry Physician 2084P0800X ME82747 FL Primary

Addresses

Primary practice location

1225 W 190TH St Ste 280
Gardena, CA 90248-4305

Mailing address

1225 W 190TH St Ste 280
Gardena, CA 90248-4305
Phone (877) 515-8113

Other names 1

  • Dr. Manuel R Mota Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050124001045 FL Practitioner - Psychiatry 9133179567 Reassigns benefits to 4 organizations
I20101208000975 GA Practitioner - Psychiatry 9133179567 Reassigns benefits to 2 organizations
Practice locations: Fort Gordon, GA
I20230925003150 CA Practitioner - Psychiatry 9133179567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ehab Yacoub MD IncGroup PAC ID 5092099523, 179 clinicians

Practice addresses (Care Compare)

130 S Indian River Dr
Suite 202
Fort Pierce, FL 34950-4353
Phone (310) 515-8113

4900 California Ave
Bakersfield, CA 93309-7024
Phone (877) 515-8113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33856TNMDPharmacist
154305CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Professionals of Georgia, LLC Psychiatry CurrentSince Jan 1, 2024 Accepting new patients
Ehab Yacoub MD Inc. CurrentSince Sep 12, 2023 Accepting new patients
Personal Recovery Network LLC Psychiatry CurrentSince Apr 24, 2023 Accepting new patients
Community Health Centers, Inc Current Accepting new patients
Community Health Centers, Inc CurrentSince Mar 11, 2019 Accepting new patients
Community Health Centers, Inc Current Accepting new patients
Community Health Centers, Inc CurrentSince Mar 11, 2019 Accepting new patients
Horizon Behavioral Health, P.C. Psychiatry CurrentSince Feb 4, 2018 Accepting new patients
Aspire Health Partners, Inc. CurrentSince Jun 24, 2024 Accepting new patients
Atlantic Psychiatric Centers, Inc. Psychiatry PastSince Jan 24, 1997 Accepting new patients
Florida Health Care Plan, Inc Past Accepting new patients
Winter Haven Hospital Inc PastSince Nov 24, 2019 Accepting new patients
Family Preservation Services Past Accepting new patients
Adly Thebaud,MD,PA PastSince Mar 10, 1998 Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients
Family Preservation Services of Florida, LLC PastSince Dec 17, 2014 Accepting new patients
Horizon Mental Health Management LLC Psychiatry Past Accepting new patients
Au Medical Associates Inc Past Accepting new patients

Locations

4900 California Ave
Bakersfield, CA 93309
Phone (404) 273-4596

1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113

17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929

6200 Stoneridge Mall Rd
Fl 3
Pleasanton, CA 94588
Phone (510) 902-9067

14541 Delano St
Van Nuys, CA 91411
Phone (310) 515-8113

225 E 7th St
Apopka, FL 32703
Phone (407) 886-6201

8570 Granite Ct
Ste 101
Fort Myers, FL 33908
Phone (239) 310-4646

130 S Indian River Dr
Ste 202
Fort Pierce, FL 34950
Phone (310) 515-8113

7912 Forest City Rd
Orlando, FL 32810
Phone 4079058827 ext. 2997

1800 Mercy Dr
Orlando, FL 32808
Phone (407) 295-5151

7900 Forest City Rd
Orlando, FL 32810
Phone (407) 614-5337

5151 Adanson St
Ste 201
Orlando, FL 32804
Phone (407) 494-1509

8400 Red Bug Lake Rd
Ste 2080
Oviedo, FL 32765
Phone (877) 610-6979

840 Mercy Dr
Pine Hills, FL 32808

919 E 2nd St
Sanford, FL 32771
Phone (407) 323-2036

212 E Main St
Tavares, FL 32778
Phone (352) 314-7409

110 S Woodland St
Winter Garden, FL 34787

13275 W Colonial Dr
Winter Garden, FL 34787

508 N Main St
Ste A
Hinesville, GA 31313
Phone (912) 785-2100

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

1325 Satellite Blvd NW
Ste 400
Suwanee, GA 30024
Phone (470) 713-0414

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1003867698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 W 190TH ST STE 280",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484305",
            "telephone_number": "877-515-8113",
            "fax_number": "877-538-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W 190TH ST STE 280",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484305",
            "telephone_number": "877-515-8113",
            "fax_number": "877-538-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTA-CASTILLO",
        "first_name": "MANUEL",
        "middle_name": "RAMON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "154305",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME82747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANUEL",
            "last_name": "MOTA",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gardena, CA

Sources for this page

Verify at the official NPI Registry.