Active NPI
Robert M Castro, DO
- Internal Medicine Physician
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20A9770
- Practice address
- 2621 S Bristol St
Suite 108
Santa Ana, CA 92704-5766 - Phone
- (714) 754-1684
- Fax
- (714) 966-0417
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A9770 | CA | |
| Internal Medicine Physician | 207R00000X | 20A9770 | CA | Primary |
Addresses
Primary practice location
2621 S Bristol St
Suite 108
Santa Ana, CA 92704-5766
Mailing address
1358 Pierre Rd
Walnut, CA 91789-4476
Phone (626) 765-7297
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX97700 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5562 Philadelphia St
Suite 200
Chino, CA 91710-2482
Phone (909) 464-9119
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A9770 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardio-Interventional Specialists | Current | Accepting new patients | |
| San Antonio Regional Hospital | Past | Accepting new patients | |
| Orange County Global Medical Center, Inc | Past | Accepting new patients | |
| East Florida Hospitalists LLC | Past | Accepting new patients |
Locations
5562 Philadelphia St
Ste 200
Chino, CA 91710
Phone (909) 464-9119
13768 Roswell Ave
Ste 218
Chino, CA 91710
Phone (909) 464-9119
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BDJFCA/Endpoint/BDJFCA
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Interventional Cardiology Physician
- Chino, CA
- NPI 1154824035
-
dba Orange County Global Medical Center
- General Acute Care Hospital
- Santa Ana, CA
- NPI 1982697678
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
-
- Hospitalist Physician
- Margate, FL
- NPI 1457516114
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432684800000",
"number": "1285777813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1358 PIERRE RD",
"city": "WALNUT",
"state": "CA",
"postal_code": "917894476",
"telephone_number": "626-765-7297",
"fax_number": "877-991-4809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2621 S BRISTOL ST",
"address_2": "SUITE 108",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927045766",
"telephone_number": "714-754-1684",
"fax_number": "714-966-0417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "ROBERT",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2015-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A9770",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A9770",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX97700",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.