Individual provider Active NPI

Michael P Castro, M.D.

  • Medical Oncology Physician
  • Los Angeles, CA
National Provider Identifier
1306834338
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
144118 Issued in CA
Practice address
10001 Venice Blvd Apt 402
Los Angeles, CA 90034-7439
Phone
(808) 445-4085
Fax
(866) 438-4310
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 174662 NY
Medical Oncology Physician 207RX0202X 15323 HI
Medical Oncology Physician 207RX0202X 144118 CA Primary

Addresses

Primary practice location

10001 Venice Blvd Apt 402
Los Angeles, CA 90034-7439

Mailing address

8900 Wilshire Blvd
Beverly Hills, CA 90211-1958
Phone (310) 432-8900

Other identifiers 1

IdentifierTypeStateIssuer
01251532MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170307001896 CA Practitioner - Hematology/Oncology 0941399737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Columbia University College of Physicians and Surgeons, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beverly Hills Oncology Medical Group IncGroup PAC ID 5193807576, 8 clinicians

Practice addresses (Care Compare)

8900 Wilshire Blvd
Beverly Hills, CA 90211-1958
Phone (310) 432-8990

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15323HIMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beverly Hills Oncology Medical Group Inc CurrentSince Jan 24, 2017 Accepting new patients
Personalized Cancer Medicine, PLLC PastSince Jul 1, 2012 Accepting new patients
Armand Bouzaglou MD Apc Past Accepting new patients

Locations

8900 Wilshire Blvd
Ste 200
Beverly Hills, CA 90211
Phone (310) 432-8900

8900 Wilshire Blvd
Beverly Hills, CA 90211
Phone (310) 432-8900

8929 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 432-8999

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mcastro@directaddress.net

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1306834338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 WILSHIRE BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111958",
            "telephone_number": "310-432-8900",
            "fax_number": "310-432-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 VENICE BLVD APT 402",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900347439",
            "telephone_number": "808-445-4085",
            "fax_number": "866-438-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NY",
            "license": "174662",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "HI",
            "license": "15323",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "144118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01251532",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.