Individual provider Active NPI

Pauline Delcastillo

  • Physical Therapist
  • Port Hueneme, CA
National Provider Identifier
1316243124
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
37383 Issued in CA
Practice address
151 Courtyard Dr
Port Hueneme, CA 93041-3159
Phone
(805) 512-3954
NPI assigned
Jan 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 37383 CA Primary

Addresses

Primary practice location

151 Courtyard Dr
Port Hueneme, CA 93041-3159

Mailing address

2324 Bath St
Ste a
Santa Barbara, CA 93105-4330
Phone (805) 682-3870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130325000474 CA Practitioner - Physical Therapist in Private Practice 7618112509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muller and Weber Physical Therapy, IncGroup PAC ID 5092816280, 5 clinicians

Practice addresses (Care Compare)

2324 Bath St
Suite a
Santa Barbara, CA 93105-4330
Phone (805) 682-3870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37383CAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Muller & Weber Physical Therapy, Inc Physical Therapist CurrentSince Mar 1, 2019 Accepting new patients

Locations

2324 Bath St
Santa Barbara, CA 93105
Phone (805) 682-3870

2324 Bath St
Ste A
Santa Barbara, CA 93105
Phone (805) 682-3870

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": "1296086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1316243124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 BATH ST",
            "address_2": "STE A",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054330",
            "telephone_number": "805-682-3870",
            "fax_number": "805-569-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 COURTYARD DR",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930413159",
            "telephone_number": "805-512-3954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELCASTILLO",
        "first_name": "PAULINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-27",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "37383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Hueneme, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.