Active NPI
Angela Castellano, MD
- Dermatology Physician
- Sherman Oaks, CA
National Provider Identifier
1033186614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G28757
- Practice address
- 4955 Van Nuys Blvd
516
Sherman Oaks, CA 91403 - Phone
- (818) 789-6296
- Fax
- (818) 789-0374
- NPI assigned
- Mar 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G28757 | CA | Primary |
Addresses
Primary practice location
4955 Van Nuys Blvd
516
Sherman Oaks, CA 91403
Mailing address
4955 Van Nuys Blvd
516
Sherman Oaks, CA 91403
Phone (818) 789-6296
Other names 1
- Angela J Castellano
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28757 | CA | MD | Clinical Psychologist |
| G28757 | CA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474329600000",
"number": "1033186614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4955 VAN NUYS BLVD",
"address_2": "516",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "91403",
"telephone_number": "818-789-6296",
"fax_number": "818-789-0374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4955 VAN NUYS BLVD",
"address_2": "516",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "91403",
"telephone_number": "818-789-6296",
"fax_number": "818-789-0374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTELLANO",
"first_name": "ANGELA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-02",
"last_updated": "2016-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G28757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "CASTELLANO",
"middle_name": "J",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.