Individual provider Active NPI

Ana Cristina Castro

  • General Practice Dentistry
  • San Luis, AZ
National Provider Identifier
1295592863
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12184000 Issued in ZZ
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

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
12184000ZZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Xpquick Claims Inc PastSince Mar 3, 2024 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.

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.

Verify at the official NPI Registry.