Active NPI
Jose Carlos Castillo, D.D.S., M.A., M.M.SC
- Orthodontics and Dentofacial Orthopedics Dentistry
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DDS101338
- Practice address
- 2918 Fifth Ave Ste 310
San Diego, CA 92103-5910 - Phone
- (619) 295-2288
- NPI assigned
- Aug 15, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DDS101338 | CA | Primary |
| Dentist | 122300000X | DN1856699 | MA |
Addresses
Primary practice location
2918 Fifth Ave Ste 310
San Diego, CA 92103-5910
Mailing address
2918 Fifth Ave Ste 310
San Diego, CA 92103-5910
Phone (619) 295-2288
Other practice location 1
3802 Clairemont Mesa Blvd
San Diego, CA 92117-2712
Phone (858) 200-7308
Other practice location 2
188 Longwood Ave
Boston, MA 02115-5819
Phone (617) 432-1434
Other practice location 3
7855 Fay Ave Ste 220
LA Jolla, CA 92037-4267
Phone (858) 454-7111
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN1856699 | MA | MD | Dentist |
| DDS101338 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jose C. Castillo, D.D.S., Inc. | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Jose C. Castillo, D.D.S., Inc. | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Locations
7855 Fay Ave
Ste 220
La Jolla, CA 92037
Phone (858) 454-7111
2918 5th Ave
Ste 310
San Diego, CA 92103
Phone (619) 295-2288
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- San Diego, CA
- NPI 1790271039
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- La Jolla, CA
- NPI 1992501183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1275932188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2918 FIFTH AVE STE 310",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035910",
"telephone_number": "619-295-2288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2918 FIFTH AVE STE 310",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035910",
"telephone_number": "619-295-2288"
}
],
"practiceLocations": [
{
"address_1": "3802 Clairemont Mesa Blvd",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921172712",
"country_code": "US",
"telephone_number": "858-200-7308",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "188 Longwood Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021155819",
"country_code": "US",
"telephone_number": "617-432-1434",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7855 Fay Ave Ste 220",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920374267",
"country_code": "US",
"telephone_number": "858-454-7111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTILLO",
"first_name": "JOSE",
"middle_name": "CARLOS",
"name_prefix": "Dr.",
"credential": "D.D.S., M.A., M.M.SC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-15",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "DDS101338",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DN1856699",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.