Individual provider Active NPI

Erick Castillo

  • Contractor
  • Chandler, AZ
National Provider Identifier
1023550795
Registry record updated Nov 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
655393 Issued in AZ
Practice address
2703 S Rincon Dr
Chandler, AZ 85286-5662
Phone
(312) 282-7430
Fax
(312) 561-6551
NPI assigned
Nov 13, 2016
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

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

LicenseStateTypeSpecialty
655393AZMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Castillo Consultants LLC Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 655393 AZ Primary

Addresses

NPPES NPI Registry

Primary practice location

2703 S Rincon Dr
Chandler, AZ 85286-5662

Mailing address

PO Box 546
Chandler, AZ 85244-0546
Phone (312) 282-7430

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 13, 2016.

{
    "created_epoch": "1478995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478995200000",
    "number": "1023550795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 546",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852440546",
            "telephone_number": "312-282-7430",
            "fax_number": "312-561-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 S RINCON DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852865662",
            "telephone_number": "312-282-7430",
            "fax_number": "312-561-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "ERICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-13",
        "last_updated": "2016-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "AZ",
            "license": "655393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.