Individual provider Active NPI

Brenda Irene Castolo, AGACNP-BC

  • Nurse Practitioner
  • Palo Alto, CA
National Provider Identifier
1083195408
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95009709 Issued in CA
Practice address
900 Welch Rd Ste 350
Palo Alto, CA 94304-1807
Phone
(650) 723-6576
NPI assigned
Aug 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95009709 CA Primary
Acute Care Nurse Practitioner 363LA2100X 95009709 CA

Addresses

Primary practice location

900 Welch Rd Ste 350
Palo Alto, CA 94304-1807

Mailing address

3623 Park Ridge Dr
Richmond, CA 94806-6102
Phone (510) 313-8354

Other practice location 1

2000 Mowry Ave
Fremont, CA 94538-1716
Phone (510) 313-8354

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190311002725 CA Practitioner - Nurse Practitioner 3678812526 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians
Stanford Health CareGroup PAC ID 6709797491, 3,152 clinicians

Practice addresses (Care Compare)

1411 E 31St St
Oakland, CA 94602-1018
Phone (510) 437-4800

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
Quality
86.93
Promoting interoperability
100
Improvement activities
40
Cost
72.6

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
87.08
Promoting interoperability
100
Improvement activities
40
Cost
69.51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95009709CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care CurrentSince Dec 28, 2018 Accepting new patients
Stanford Health Care CurrentSince Dec 28, 2018 Accepting new patients
LPCH Medical Group Div of Lucile CurrentSince Dec 28, 2018 Accepting new patients
Alameda Health System CurrentSince Mar 7, 2022 Accepting new patients
Alameda Health System CurrentSince Mar 7, 2022 Accepting new patients
Alameda Health System Past Accepting new patients

Locations

815 Atlantic Ave
Ste 100
Alameda, CA 94501
Phone (510) 522-6637

2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700

15400 Foothill Blvd
Castro Valley, CA 94578
Phone (510) 346-1468

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

900 Welch Rd
Ste 350
Palo Alto, CA 94304
Phone (650) 723-6576

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Interoperability endpoints

  • Direct secure messaging: bcastolo10219@alamedahs.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1083195408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 PARK RIDGE DR",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948066102",
            "telephone_number": "510-313-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WELCH RD STE 350",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041807",
            "telephone_number": "650-723-6576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Mowry Ave",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945381716",
            "country_code": "US",
            "telephone_number": "510-313-8354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTOLO",
        "first_name": "BRENDA",
        "middle_name": "IRENE",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95009709",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95009709",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.