Individual provider Active NPI

Loren Castellon, MD

  • Obstetrics & Gynecology Physician
  • Santa Monica, CA
National Provider Identifier
1114555612
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A197013 Issued in CA
Practice address
1301 20TH St Ste 270
Santa Monica, CA 90404-2053
Phone
(310) 828-8585
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A197013 CA Primary

Addresses

Primary practice location

1301 20TH St Ste 270
Santa Monica, CA 90404-2053

Mailing address

1301 20TH St Ste 270
Santa Monica, CA 90404-2053

Other practice location 1

12555 W Jefferson Blvd Ste 303
Los Angeles, CA 90066-7032
Phone (424) 443-5530

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240823000433 CA Practitioner - Obstetrics/Gynecology 7012339591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Albert Einstein College of Medicine of Yeshiva University, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1301 20TH St
Suite 270
Santa Monica, CA 90404-2053
Phone (310) 828-8585

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
96.07
Promoting interoperability
100
Improvement activities
40
Cost
71.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A197013CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Saint Johns Medical Foundation CurrentSince Aug 16, 2024 Accepting new patients
Saint John'S Health Clinic Past Accepting new patients

Locations

12555 W Jefferson Blvd
#303
Los Angeles, CA 90066
Phone (424) 443-5530

1301 20th St
Ste 270
Santa Monica, CA 90404
Phone (310) 828-8585

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2001 Santa Monica Blvd
Ste 680W
Santa Monica, CA 90404
Phone (310) 453-0419

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1114555612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 20TH ST STE 270",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 20TH ST STE 270",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042053",
            "telephone_number": "310-828-8585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12555 W Jefferson Blvd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900667032",
            "country_code": "US",
            "telephone_number": "424-443-5530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTELLON",
        "first_name": "LOREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A197013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.