Individual provider Active NPI

Keith Michael Castro

  • Hearing Instrument Specialist
  • Placentia, CA
National Provider Identifier
1326446022
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
10607 Issued in CA
Practice address
101 S Kraemer Blvd Ste 236
Placentia, CA 92870-6102
Phone
(714) 630-7800
NPI assigned
Dec 11, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 10607 CA Primary

Addresses

Primary practice location

101 S Kraemer Blvd Ste 236
Placentia, CA 92870-6102

Mailing address

101 S Kraemer Blvd Ste 236
Placentia, CA 92870-6102
Phone (714) 630-7800

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
10607CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Clear Hearing Center Inc Hearing Instrument Specialist CurrentSince Dec 17, 2023 Accepting new patients

Locations

101 S Kraemer Blvd
Ste 236
Placentia, CA 92870
Phone (562) 619-2571

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": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1326446022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S KRAEMER BLVD STE 236",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706102",
            "telephone_number": "714-630-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S KRAEMER BLVD STE 236",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706102",
            "telephone_number": "714-630-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "KEITH",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-11",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "10607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.