Active NPI
Arturo Castillo, PAC
- Physician Assistant
- Los Angeles, CA
National Provider Identifier
1073820528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 19585
- Practice address
- 2033 W 7TH St
Los Angeles, CA 90057-4073 - Phone
- (213) 413-5093
- Fax
- (213) 413-2465
- NPI assigned
- Sep 3, 2010
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 19585 | CA | Primary |
Addresses
Primary practice location
2033 W 7TH St
Los Angeles, CA 90057-4073
Mailing address
5622 N Galanto Ave
Azusa, CA 91702-4800
Phone (626) 216-6042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170203001884 | CA | Order and Referring Only - Physician Assistant | 0941583603 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283472000000",
"number": "1073820528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5622 N GALANTO AVE",
"city": "AZUSA",
"state": "CA",
"postal_code": "917024800",
"telephone_number": "626-216-6042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2033 W 7TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900574073",
"telephone_number": "213-413-5093",
"fax_number": "213-413-2465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "ARTURO",
"name_prefix": "Mr.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-03",
"last_updated": "2010-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "19585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.