Individual provider Active NPI

Miguel Alejandro Castro, PA-C

  • Physician Assistant
  • Sanger, CA
National Provider Identifier
1164985404
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
56674 Issued in CA
Practice address
2570 Jensen Ave
Sanger, CA 93657-2269
Phone
(559) 875-3428
Fax
(559) 875-3434
NPI assigned
Apr 12, 2019
Last updated
Apr 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 56674 CA Primary

Addresses

Primary practice location

2570 Jensen Ave
Sanger, CA 93657-2269

Mailing address

1350 O St Ste 302
Fresno, CA 93721-1828
Phone (559) 369-4625

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200702000248 CA Practitioner - Physician Assistant 2466875802 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of America CurrentSince Dec 23, 2025 Accepting new patients
Omni Family Health CurrentSince Mar 19, 2020 Accepting new patients
Omni Family Health CurrentSince Mar 19, 2020 Accepting new patients
Community Health Centers of America CurrentSince Dec 23, 2025 Accepting new patients
Omni Family Health Past Accepting new patients
Bautista Health Care, Inc. Past Accepting new patients
Power Mental Health Services Inc PastSince Jan 7, 2024 Accepting new patients

Locations

4900 California Ave
Ste 400B
Bakersfield, CA 93309
Phone (661) 630-7046

1300 N Fresno St
Ste 220
Fresno, CA 93703
Phone (209) 495-6702

3748 E Shields Ave
Fresno, CA 93726
Phone (559) 224-7272

4646 N 1st St
Fresno, CA 93726
Phone (559) 558-9895

355 Campus Dr
Ste E
Hanford, CA 93230
Phone (559) 584-0668

5320 State Highway 49 N
Ste 13
Mariposa, CA 95338
Phone (209) 966-2344

1530 E Manning Ave
Reedley, CA 93654
Phone (559) 558-9741

925 G St
Reedley, CA 93654
Phone (559) 558-9712

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: miguel.castro.p1@direct.omnifamilyhealth.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1164985404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 O ST STE 302",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211828",
            "telephone_number": "559-369-4625",
            "fax_number": "559-369-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 JENSEN AVE",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572269",
            "telephone_number": "559-875-3428",
            "fax_number": "559-875-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "MIGUEL",
        "middle_name": "ALEJANDRO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-12",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "56674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanger, CA

Sources for this page

Verify at the official NPI Registry.