Organization Active NPI

Castle Health & Wellness Chiropractic by Castillo Inc.

  • Chiropractor
  • Upland, CA
National Provider Identifier
1154035319
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CASTLE HEALTH & WELLNESS CHIROPRACTIC BY CASTILLO INC.
Practice address
659 E 15TH St Ste H
Upland, CA 91786-2333
Phone
(909) 694-4200
NPI assigned
Jan 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Dr. Raul Castillo, DCNPI 1922431733
Title
President
Phone
(909) 694-4200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

659 E 15TH St Ste H
Upland, CA 91786-2333

Mailing address

659 E 15TH St Ste H
Upland, CA 91786-2333
Phone (909) 694-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240119002568 CA Part B Supplier - Clinic/Group Practice 3072965532 Receives reassigned benefits from 1 practitioner
Practice locations: Upland, CA

National Provider Directory

National Provider Directory

Locations

659 E 15th St
Ste H
Upland, CA 91786
Phone (909) 694-4200

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1154035319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 E 15TH ST STE H",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917862333",
            "telephone_number": "909-694-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 E 15TH ST STE H",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917862333",
            "telephone_number": "909-694-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE HEALTH & WELLNESS CHIROPRACTIC BY CASTILLO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-11",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-694-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.