Active NPI
Ivan Castro, DC
- Chiropractor
- Pleasanton, CA
National Provider Identifier
1073371191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC36935
- Practice address
- 6620 Owens Dr
Pleasanton, CA 94588-3341 - Phone
- (925) 255-5805
- NPI assigned
- Mar 12, 2024
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC36935 | CA | Primary |
Addresses
Primary practice location
6620 Owens Dr
Pleasanton, CA 94588-3341
Mailing address
6620 Owens Dr
Pleasanton, CA 94588-3341
Phone (925) 255-5805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250423001086 | CA | Practitioner - Chiropractic | 5294250122 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC36935 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710201600000",
"number": "1073371191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6620 OWENS DR",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945883341",
"telephone_number": "925-255-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6620 OWENS DR",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945883341",
"telephone_number": "925-255-5805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "IVAN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-12",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC36935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.