Miguel Alejandro Castro, PA-C
Individual provider Active NPI Physician Assistant · Sanger, CA
NPI 1164985404 · NPPES record last updated Apr 12, 2019
Key facts
- NPI
- 1164985404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 56674 (CA)
- Practice address
- 2570 Jensen Ave
Sanger, CA 93657-2269 - Phone
- (559) 875-3428
- Fax
- (559) 875-3434
- NPI assigned
- Apr 12, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200702000248 | CA | Practitioner - Physician Assistant | 2466875802 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of America | Current |
Accepting new patients | |
| Community Health Centers of America | Current |
Accepting new patients | |
| Omni Family Health | Current |
Accepting new patients | |
| Omni Family Health | Current |
Accepting new patients | |
| Omni Family Health | Past | Accepting new patients | |
| Bautista Health Care, Inc. | Past | Accepting new patients | |
| Power Mental Health Services Inc | Past |
Accepting new patients |
Locations
4900 California Ave
Ste 400B
Bakersfield, CA 93309
Phone (661) 630-7046
4646 N 1st St
Fresno, CA 93726
Phone (559) 558-9895
3748 E Shields Ave
Fresno, CA 93726
Phone (559) 224-7272
1300 N Fresno St
Ste 220
Fresno, CA 93703
Phone (209) 495-6702
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
- miguel.castro.p1@direct.omnifamilyhealth.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 56674 | CA | Yes |
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
Other providers in Sanger, CA
- Khoa Bui
- Geraldo Camara
- Denise Marie Cantu
- Maraya Dezzarey Carreno
- Malenni Stephanie Castaneda
- Luis Octavino Cedillo
- Sabrina Terry Celaya
- Cristian Chaires Vazquez
- Leslie Chang
- Rodney Arnold Chang
All providers in Sanger, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.