Jan M Castro, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

198466-1206 Issued in UT

Practice address

5495 S 500 E
Ste 120
Ogden, UT 84405-6923

Phone

(801) 479-0174

Fax

(801) 479-8888

NPI assigned

Jun 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mountainstar Ogden Pediatrics LLC

  • Pediatrics Physician
  • Ogden, UT
  • NPI 1265694509
  NPD (past)
• Shadow Mountain Family Medicine LLC

  • Family Medicine Physician
  • West Jordan, UT
  • NPI 1225294697
  NPD (past)

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1235335944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5495 S 500 E",
            "address_2": "STE 120",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056923",
            "telephone_number": "801-479-0174",
            "fax_number": "801-479-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5495 S 500 E",
            "address_2": "STE 120",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056923",
            "telephone_number": "801-479-0174",
            "fax_number": "801-479-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "JAN",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "UT",
            "license": "198466-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Martin Cassel, M.D.
• Daniel Kim Cassity, DMD,MS
• Matthew Castiana, STUDENT AT
• Mary Kathleen Castle, LCSW
• David F Castro, PA-C
• Catharina Kang PC
• Ashley Catt
• Catherine Causey, PTA
• Spencer Douglas Cawley, LPC
• CBT Anesthesia, PC

• Medical Physician Assistant in Ogden, UT
• Providers in Ogden, UT by specialty
• Medical Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.