Active NPI
Ana Cristina Castro
- General Practice Dentistry
- San Luis, AZ
National Provider Identifier
1295592863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12184000
- Practice address
- 1856 E Ajaime St
San Luis, AZ 85336-0440 - Phone
- (619) 831-0437
- Fax
- (619) 785-3404
- NPI assigned
- Feb 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12184000 | ZZ | Primary |
Addresses
Primary practice location
1856 E Ajaime St
San Luis, AZ 85336-0440
Mailing address
710 E San Ysidro Blvd Ste 128
San Ysidro, CA 92173-3123
Phone (619) 831-0437
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12184000 | ZZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Xpquick Claims Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- San Ysidro, CA
- NPI 1285039818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1295592863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 E SAN YSIDRO BLVD STE 128",
"city": "SAN YSIDRO",
"state": "CA",
"postal_code": "921733123",
"telephone_number": "619-831-0437",
"fax_number": "619-785-3404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1856 E AJAIME ST",
"city": "SAN LUIS",
"state": "AZ",
"postal_code": "853360440",
"telephone_number": "619-831-0437",
"fax_number": "619-785-3404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "ANA",
"middle_name": "CRISTINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-29",
"last_updated": "2024-02-29",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ZZ",
"license": "12184000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Luis, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.