Individual provider Active NPI

Jacqueline Gaerlan De Castro, MD

  • Family Medicine Physician
  • Hanford, CA
National Provider Identifier
1124241559
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A101754 Issued in CA
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

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081110000062 CA Practitioner - Family Practice 5395804108 Reassigns benefits to 1 organization

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 HospitalGroup PAC ID 8325957517, 89 clinicians

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 Home health agency, Fresno, CA, CCN 059426
  • Adventist Health Hanford Hospital, Hanford, CA, CCN 050121
  • Adventist Health Reedley Hospital, Reedley, CA, CCN 050192

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A101754CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jacqueline G de Castro MD Inc Family Medicine CurrentSince Sep 3, 2008 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.