Active NPI
Teresita E Castillo
- Dentist
- Lancaster, CA
National Provider Identifier
1205034725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 50448
- Practice address
- 44407 Challenger Way
Lancaster, CA 93535-3237 - Phone
- (661) 341-3100
- Fax
- (661) 942-2305
- NPI assigned
- Jul 5, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 50448 | CA | Primary |
Addresses
Primary practice location
44407 Challenger Way
Lancaster, CA 93535-3237
Mailing address
14242 Roscoe Blvd Apt 102
Panorama City, CA 91402-4251
Phone (800) 326-3254
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D50448 | Medicaid | CA |
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 |
|---|---|---|---|
| 50448 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Dental Services, Inc. | Past | 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.
-
- General Practice Dentistry
- Lancaster, CA
- NPI 1063627180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1205034725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14242 ROSCOE BLVD APT 102",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914024251",
"telephone_number": "800-326-3254",
"fax_number": "714-571-3560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44407 CHALLENGER WAY",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935353237",
"telephone_number": "661-341-3100",
"fax_number": "661-942-2305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "TERESITA",
"middle_name": "E",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "50448",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D50448",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.