Individual provider Active NPI

Celestino Castanon

  • Student in an Organized Health Care Education/Training Program
  • Wauwatosa, WI
National Provider Identifier
1043950819
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
9811 Eschweiler Dr Apt 104
Wauwatosa, WI 53226-5507
Phone
(520) 576-4642
NPI assigned
Mar 30, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

9811 Eschweiler Dr Apt 104
Wauwatosa, WI 53226-5507

Mailing address

9811 Eschweiler Dr Apt 104
Wauwatosa, WI 53226-5507
Phone (520) 576-4642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20220716000078 LA Order and Referring Only - General SurgeryPractitioner - General Surgery 2163803552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: ccastanon3753315@direct.casso.us.com

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1043950819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 ESCHWEILER DR APT 104",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532265507",
            "telephone_number": "520-576-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 ESCHWEILER DR APT 104",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532265507",
            "telephone_number": "520-576-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANON",
        "first_name": "CELESTINO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.