Individual provider Active NPI

Jason Michael Castillo, D.O.

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1013335959
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO2190 Issued in NV
Practice address
2040 W Charleston Blvd
Las Vegas, NV 89102
Phone
(702) 671-5127
NPI assigned
Mar 28, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X DO2190 NV Primary

Addresses

Primary practice location

2040 W Charleston Blvd
Las Vegas, NV 89102

Mailing address

4846 Willmonte Ave
Temple City, CA 91780-4042
Phone (626) 664-6965

Other practice location 1

4270 S Decatur Blvd Ste B6
Las Vegas, NV 89103-6802
Phone (702) 357-8811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20181010003709 NV Practitioner - Psychiatry 2567681547 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
College of Osteopathic Physicians and Surgeons of Los Angeles, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medtrans Behavioral Nevada Casal PLLCGroup PAC ID 7810259165, 57 clinicians

Practice addresses (Care Compare)

850 Mill St
Suite 100
Reno, NV 89502-1463
Phone (775) 538-6700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO2190NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medtrans Reno Casal, PLLC CurrentSince Nov 6, 2020 Accepting new patients
Alliance Mental Health Specialists Suba Park Cheng PLLC Psychiatry CurrentSince Nov 21, 2023 Accepting new patients
Medtrans Medical Nevada Casal PLLC Current Accepting new patients
Homebase Care Casal PLLC CurrentSince Jun 1, 2021 Accepting new patients
Medtrans Behavioral Nevada Casal, PLLC CurrentSince Nov 6, 2020 Accepting new patients
Homebase Care Casal PLLC CurrentSince Jun 1, 2021 Accepting new patients
Unlv Medicine Past Accepting new patients
Campbell Psychiatry PLLC PastSince Feb 1, 2020 Accepting new patients

Locations

5412 Boulder Hwy
Las Vegas, NV 89122

4270 S Decatur Blvd
Ste B6
Las Vegas, NV 89103
Phone (702) 485-2100

4270 S Decatur Blvd
Las Vegas, NV 89103
Phone (702) 485-2100

3312 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 410-7825

890 Mill St
Fl 4
Reno, NV 89502

850 Mill St
Ste 100
Reno, NV 89502
Phone (775) 982-3950

890 Mill St
Ste 300
Reno, NV 89502
Phone (775) 323-5566

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1013335959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4846 WILLMONTE AVE",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917804042",
            "telephone_number": "626-664-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-671-5127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4270 S Decatur Blvd Ste B6",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891036802",
            "country_code": "US",
            "telephone_number": "702-357-8811",
            "fax_number": "702-947-5352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-28",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "DO2190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.