Ivan Enrique Castro, EMT-B, HS2

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

300 E Main St
Norfolk, VA 23510-1753

Phone

(562) 922-5135

NPI assigned

Feb 1, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491091200000",
    "number": "1336327394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MAIN ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101753",
            "telephone_number": "562-922-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E MAIN ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101753",
            "telephone_number": "562-922-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "IVAN",
        "middle_name": "ENRIQUE",
        "credential": "EMT-B, HS2",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-01",
        "last_updated": "2017-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "CA",
            "license": "B1688832",
            "primary": false
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "MN",
            "license": "941375",
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Casper, M.S. OTRL
• Robbie Casper, NP
• Nathalie Cassis
• Melanee Castillo, LPC
• Andrea Nichole Castleberry, OWNER
• Jared Castro, PA-C
• KC Cataldi
• Destiny Ciera Cates-Costley, MD
• Mary Frances Cath, PTA
• Charles Cather, RN

• Other Technician in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Other Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2017; 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.