Individual provider Active NPI

Jose Carlos Castillo, D.D.S., M.A., M.M.SC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Diego, CA
National Provider Identifier
1275932188
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DDS101338 Issued in CA
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

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DN1856699MAMDDentist
DDS101338CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jose C. Castillo, D.D.S., Inc. Orthodontics and Dentofacial Orthopedics CurrentSince Jun 21, 2020 Accepting new patients
Jose C. Castillo, D.D.S., Inc. Orthodontics and Dentofacial Orthopedics CurrentSince Feb 23, 2025 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.

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.

Verify at the official NPI Registry.