Miguel Angel Castro, MIGUEL CASTRO

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY19741 Issued in CA

Practice address

3180 University Ave
San Diego, CA 92104-2045

Phone

(760) 427-0839

NPI assigned

Sep 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Michael Angel Castro Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Daniel Blaess, PH.D., Psychologist, Inc.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1225162274
  Medicare reassignment NPD
• Miguel a Castro, Psy.D., Psychologist, Inc.

  • Psychologist
  • San Diego, CA
  • NPI 1891528212
  NPD Authorized official

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1083716385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4153 1ST AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032047",
            "telephone_number": "760-427-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 UNIVERSITY AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042045",
            "telephone_number": "760-427-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "MIGUEL CASTRO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY19741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "CASTRO",
            "middle_name": "ANGEL",
            "prefix": "MR.",
            "credential": "MIGUEL ANGEL CASTRO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lizbeth Castro
• Mariana Castro
• Marie Claire Castro, NP
• Martin Castro, SFIDC
• Michelle Delia Castro
• Nicolette Christa Castro
• Omar Castro
• Reuben Herman Castro, IDC
• Ricardo Castro
• Samantha Castro

• Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.

Verify at the official NPI Registry.