Active NPI
Guillermo Salvador Castillo, D.D.S.
- General Practice Dentistry
- Hemet, CA
National Provider Identifier
1003916818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 50896
- Practice address
- 930 E Florida Ave
Suite B
Hemet, CA 92543-4530 - Phone
- (951) 652-1312
- Fax
- (951) 652-0771
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 50896 | CA | Primary |
Addresses
Primary practice location
930 E Florida Ave
Suite B
Hemet, CA 92543-4530
Mailing address
930 E Florida Ave
Suite B
Hemet, CA 92543-4530
Phone (951) 652-1312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G 94099-01 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50896 | CA | MD | General Practice Dentistry |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Hemet, CA
- NPI 1689866709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219190400000",
"number": "1003916818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 E FLORIDA AVE",
"address_2": "SUITE B",
"city": "HEMET",
"state": "CA",
"postal_code": "925434530",
"telephone_number": "951-652-1312",
"fax_number": "951-652-0771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 E FLORIDA AVE",
"address_2": "SUITE B",
"city": "HEMET",
"state": "CA",
"postal_code": "925434530",
"telephone_number": "951-652-1312",
"fax_number": "951-652-0771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "GUILLERMO",
"middle_name": "SALVADOR",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2008-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "50896",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G 94099-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.