Organization Active NPI

Sam a Castro, M.D., Inc.

  • Behavioral Neurology & Neuropsychiatry Physician
  • Fresno, CA
National Provider Identifier
1265788426
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
License
CO15434 Issued in CA
Legal business name
SAM A CASTRO, M.D., INC.
Practice address
333 W Shaw Ave
#7
Fresno, CA 93704-2657
Phone
(559) 221-6864
Fax
(559) 221-8917
NPI assigned
Jul 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Authorized official

Name
Dr. Sam A Castro, M.D.
Title
Owner
Phone
(559) 221-6864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084B0040X CO15434 CA Primary

Addresses

Primary practice location

333 W Shaw Ave
#7
Fresno, CA 93704-2657

Mailing address

333 W Shaw Ave
#7
Fresno, CA 93704-2657
Phone (559) 221-6864

Other names 1

  • SAM A. CASTRO, M.D. INC. Former legal business name

National Provider Directory

National Provider Directory

Locations

333 W Shaw Ave
Ste 7
Fresno, CA 93704
Phone (559) 221-6864

NPI Registry JSON

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1265788426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W SHAW AVE",
            "address_2": "#7",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042657",
            "telephone_number": "559-221-6864",
            "fax_number": "559-221-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W SHAW AVE",
            "address_2": "#7",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042657",
            "telephone_number": "559-221-6864",
            "fax_number": "559-221-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM A CASTRO, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-221-6864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "CA",
            "license": "CO15434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAM A. CASTRO, M.D. INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.