Active NPI
Sergio F Castillo, MD
- Obstetrics & Gynecology Physician
- Gretna, LA
National Provider Identifier
1043286347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD.05084R
- Practice address
- 515 Westbank Expy
Suite 7
Gretna, LA 70053-5644 - Phone
- (504) 366-7233
- Fax
- (504) 366-0686
- NPI assigned
- Feb 27, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD.05084R | LA | Primary |
Addresses
Primary practice location
515 Westbank Expy
Suite 7
Gretna, LA 70053-5644
Mailing address
515 Westbank Expy
Suite 7
Gretna, LA 70053-5644
Phone (504) 366-7233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1305022 | Medicaid | LA |
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 |
|---|---|---|---|
| MD.05084R | LA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1043286347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 WESTBANK EXPY",
"address_2": "SUITE 7",
"city": "GRETNA",
"state": "LA",
"postal_code": "700535644",
"telephone_number": "504-366-7233",
"fax_number": "504-366-0686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 WESTBANK EXPY",
"address_2": "SUITE 7",
"city": "GRETNA",
"state": "LA",
"postal_code": "700535644",
"telephone_number": "504-366-7233",
"fax_number": "504-366-0686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "SERGIO",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-27",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "LA",
"license": "MD.05084R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1305022",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gretna, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.