Active NPI
Luis R Castellanos, MD
- Cardiovascular Disease Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A89654
- Practice address
- 200 W Arbor Dr
Division of Cardiology, MPF 360
San Diego, CA 92103-9001 - Phone
- (619) 543-8213
- Fax
- (619) 543-5576
- NPI assigned
- Feb 13, 2007
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | A89654 | CA | Primary |
Addresses
Primary practice location
200 W Arbor Dr
Division of Cardiology, MPF 360
San Diego, CA 92103-9001
Mailing address
PO Box 232410
Division of Cardiology, MPF 360
San Diego, CA 92193-2410
Phone (619) 543-6222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Harvard Medical School, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
330 Lewis St
San Diego, CA 92103-2108
Phone (858) 657-7000
Hospital & facility affiliations
- UC San Diego Health Hillcrest - Hillcrest Med Ctr
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A89654 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Cardiovascular Disease | Current | Accepting new patients |
| Imperial Valley Family Care Medical Group, Apc | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Imperial Valley Family Care Medical Group Apc | Current | Accepting new patients | |
| El Centro Regional Medical Center | Past | Accepting new patients | |
| Regents of the University of California Ucsd Head and Neck Surgery | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients |
Locations
125 S 5th St
Brawley, CA 92227
Phone (760) 344-8100
516 W Aten Rd
Ste 2
Imperial, CA 92251
Phone (760) 355-7730
516 W Aten Rd
Ste 1
Imperial, CA 92251
Phone (760) 355-7748
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
330 Lewis St
Ste 400
San Diego, CA 92103
Phone (619) 471-9250
200 W Arbor Dr
#360
San Diego, CA 92103
Phone (619) 543-8213
16950 Via Tazon
San Diego, CA 92127
Phone (858) 521-2265
330 Lewis St
San Diego, CA 92103
Phone (619) 471-9235
Organizations & group practices 9
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.
-
- Family Medicine Physician
- San Diego, CA
- NPI 1578672184
-
- General Practice Physician
- Imperial, CA
- NPI 1275581894
-
- Cardiac Rehabilitation Registered Nurse
- Imperial, CA
- NPI 1750112587
-
- Cardiovascular Disease Physician
- San Diego, CA
- NPI 1427176338
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
- Rural Health Clinic/Center
- Calexico, CA
- NPI 1598840258
-
- Surgery Physician
- Sacramento, CA
- NPI 1427041698
-
- Pharmacy
- San Diego, CA
- NPI 1598786576
-
- Otolaryngology Physician
- San Diego, CA
- NPI 1679509962
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1184722779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469750400000",
"number": "1013059286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 232410",
"address_2": "DIVISION OF CARDIOLOGY, MPF 360",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921932410",
"telephone_number": "619-543-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ARBOR DR",
"address_2": "DIVISION OF CARDIOLOGY, MPF 360",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921039001",
"telephone_number": "619-543-8213",
"fax_number": "619-543-5576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTELLANOS",
"first_name": "LUIS",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2016-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A89654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.