Active NPI
James Chan Castelo, D.D.S
- Dentist
- Los Angeles, CA
National Provider Identifier
1144467341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 57883
- Practice address
- 1131 N Vermont Ave
Los Angeles, CA 90029-1764 - Phone
- (716) 923-3349
- Fax
- (323) 663-0218
- NPI assigned
- Jan 10, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 57883 | CA | Primary |
Addresses
Primary practice location
1131 N Vermont Ave
Los Angeles, CA 90029-1764
Mailing address
1131 N Vermont Ave
Los Angeles, CA 90029-1764
Phone (716) 923-3349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57883 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J Castelo DDS, Inc | Dentist | Current | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231545600000",
"number": "1144467341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1131 N VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900291764",
"telephone_number": "716-923-3349",
"fax_number": "323-663-0218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1131 N VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900291764",
"telephone_number": "716-923-3349",
"fax_number": "323-663-0218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTELO",
"first_name": "JAMES",
"middle_name": "CHAN",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-10",
"last_updated": "2009-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "57883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.