Active NPI
Jacqueline Gaerlan De Castro, MD
- Family Medicine Physician
- Hanford, CA
National Provider Identifier
1124241559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A101754
- Practice address
- 1457 Bailey St
Hanford, CA 93230-5943 - Phone
- (559) 582-9100
- Fax
- (559) 582-9103
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A101754 | CA | Primary |
Addresses
Primary practice location
1457 Bailey St
Hanford, CA 93230-5943
Mailing address
PO Box 2117
Hanford, CA 93232-2117
Phone (559) 582-9100
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1989
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Central Valley General Hospital
Practice addresses (Care Compare)
1025 N Douty St
Hanford, CA 93230-3722
1457 Bailey St
Hanford, CA 93230-5943
Phone (559) 582-9100
Hospital & facility affiliations
- Therapeutic Home Healthcare
- Adventist Health Hanford
- Adventist Health Reedley
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A101754 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacqueline G de Castro MD Inc | Family Medicine | Current | Accepting new patients |
| Reedley Community Hospital | Past | Accepting new patients | |
| Reedley Community Hospital | Past | Accepting new patients | |
| Central Valley General Hospital | Past | Accepting new patients | |
| Adventist Health Physicians Network | Past | Accepting new patients | |
| Hanford Community Hospital | Past | Accepting new patients |
Locations
1457 Bailey St
Hanford, CA 93230
Phone (559) 582-9100
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.
-
- Family Medicine Physician
- Hanford, CA
- NPI 1255593299
-
- Cardiovascular Disease Physician
- Los Angeles, CA
- NPI 1942602883
-
- General Acute Care Hospital
- Hanford, CA
- NPI 1891777983
-
- General Acute Care Hospital
- Hanford, CA
- NPI 1538141627
-
- Rural Health Clinic/Center
- Hanford, CA
- NPI 1417930892
-
- Rural Health Clinic/Center
- Corcoran, CA
- NPI 1881677292
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fresno, CA
- NPI 1750685822
-
- General Acute Care Hospital
- Hanford, CA
- NPI 1538141627
-
- General Acute Care Hospital
- Reedley, CA
- NPI 1336167550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586217600000",
"number": "1124241559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2117",
"city": "HANFORD",
"state": "CA",
"postal_code": "932322117",
"telephone_number": "559-582-9100",
"fax_number": "559-582-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1457 BAILEY ST",
"city": "HANFORD",
"state": "CA",
"postal_code": "932305943",
"telephone_number": "559-582-9100",
"fax_number": "559-582-9103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE CASTRO",
"first_name": "JACQUELINE",
"middle_name": "GAERLAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-11",
"last_updated": "2020-04-07",
"certification_date": "2020-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A101754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.