Individual provider Active NPI

Kristen Castro, PA-C

  • Medical Physician Assistant
  • San Antonio, TX
National Provider Identifier
1194311852
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
18130 Issued in TX
Practice address
1418 Walkers Way Ste 101
San Antonio, TX 78216-7752
Phone
(210) 245-7933
NPI assigned
Dec 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 18130 TX Primary
Medical Physician Assistant 363AM0700X 58983 CA

Addresses

Primary practice location

1418 Walkers Way Ste 101
San Antonio, TX 78216-7752

Mailing address

2313 Lockhill Selma Rd Ste 102
San Antonio, TX 78230-3003
Phone (210) 245-7933

Other practice location 1

7003 S New Braunfels Ave Ste 101
San Antonio, TX 78223-4589
Phone (726) 201-5616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211117001627 CA Practitioner - Physician Assistant 7911396726 Reassigns benefits to 1 organization
I20251117002511 TX Practitioner - Physician Assistant 7911396726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Internal Medicine Practice PLLCGroup PAC ID 6305187865, 3 clinicians

Practice addresses (Care Compare)

1418 Walkers Way
Suite 101
San Antonio, TX 78216-7752
Phone (210) 245-7933

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18130TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Internal Medicine Practice PLLC CurrentSince Aug 3, 2025 Accepting new patients

Locations

2313 Lockhill Selma Rd
San Antonio, TX 78230
Phone (210) 595-0606

1418 Walkers Way
San Antonio, TX 78216

7003 S New Braunfels Ave
Ste 101
San Antonio, TX 78223
Phone (210) 245-7933

1418 Walkers Way
Ste 101
San Antonio, TX 78216
Phone (210) 245-7933

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1194311852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 LOCKHILL SELMA RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782303003",
            "telephone_number": "210-245-7933",
            "fax_number": "210-855-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 WALKERS WAY STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167752",
            "telephone_number": "210-245-7933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7003 S New Braunfels Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782234589",
            "country_code": "US",
            "telephone_number": "726-201-5616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "KRISTEN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "18130",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "58983",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.