Individual provider Active NPI

Dorina R. Castelo, MD

  • General Practice Physician
  • Lakewood, CA
National Provider Identifier
1295910701
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A50199 Issued in CA
Practice address
4318 South St
Lakewood, CA 90712-1152
Phone
(562) 529-5200
Fax
(562) 529-5222
NPI assigned
Jan 2, 2008
Last updated
Oct 3, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A50199 CA Primary

Addresses

Primary practice location

4318 South St
Lakewood, CA 90712-1152

Mailing address

4318 South St
Lakewood, CA 90712-1152
Phone (562) 529-5200

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A50199CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr H V Mungcal MD, Inc General Practice Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222992000000",
    "number": "1295910701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 SOUTH ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121152",
            "telephone_number": "562-529-5200",
            "fax_number": "562-529-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 SOUTH ST",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121152",
            "telephone_number": "562-529-5200",
            "fax_number": "562-529-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELO",
        "first_name": "DORINA",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A50199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.