Active NPI
Ivannia Castro
- Specialist
- West Valley City, UT
National Provider Identifier
1043640683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 4586 W 4410 S
West Valley City, UT 84120-4921 - Phone
- (801) 815-0817
- NPI assigned
- Nov 18, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
4586 W 4410 S
West Valley City, UT 84120-4921
Mailing address
4586 W 4410 S
West Valley City, UT 84120-4921
Phone (801) 815-0817
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384732800000",
"number": "1043640683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4586 W 4410 S",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841204921",
"telephone_number": "801-815-0817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4586 W 4410 S",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841204921",
"telephone_number": "801-815-0817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "IVANNIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-18",
"last_updated": "2013-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Valley City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.