Active NPI
Teresa Doran Castro, RDN, CNSC, CDCES
- Registered Dietitian
- Santa Ana, CA
National Provider Identifier
1316518384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 727700
- Practice address
- 2212 E 4TH St Ste 301
Santa Ana, CA 92705-3873 - Phone
- (714) 288-3230
- NPI assigned
- Jul 9, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 727700 | CA | Primary |
Addresses
Primary practice location
2212 E 4TH St Ste 301
Santa Ana, CA 92705-3873
Mailing address
2212 E 4TH St Ste 301
Santa Ana, CA 92705-3873
Phone (714) 228-3230
Other practice location 1
2251 N Harbor Blvd
Fullerton, CA 92835-2601
Phone (714) 449-6230
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 727700 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627257600000",
"number": "1316518384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2212 E 4TH ST STE 301",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053873",
"telephone_number": "714-228-3230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2212 E 4TH ST STE 301",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053873",
"telephone_number": "714-288-3230"
}
],
"practiceLocations": [
{
"address_1": "2251 N Harbor Blvd",
"address_purpose": "LOCATION",
"city": "Fullerton",
"state": "CA",
"postal_code": "928352601",
"country_code": "US",
"telephone_number": "714-449-6230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTRO",
"first_name": "TERESA",
"middle_name": "DORAN",
"credential": "RDN, CNSC, CDCES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-09",
"last_updated": "2021-07-26",
"certification_date": "2021-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "727700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.