Organization Active NPI

Gregorio Joel Castillo, M.D. P.a.

  • Primary Care Clinic/Center
  • El Paso, TX
National Provider Identifier
1356524490
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
J8950 Issued in TX
Legal business name
GREGORIO JOEL CASTILLO, M.D. P.A.
Practice address
10501 Vista del Sol Dr
Suite 200
El Paso, TX 79925-7940
Phone
(915) 592-8880
Fax
(915) 592-8883
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Dr. Gregorio Joel Asuncion CastilloNPI 1184695488
Title
President
Phone
(915) 592-8880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X J8950 TX Primary

Addresses

Primary practice location

10501 Vista del Sol Dr
Suite 200
El Paso, TX 79925-7940

Mailing address

10501 Vista del Sol Dr
Suite 200
El Paso, TX 79925-7940
Phone (915) 592-8880

Other identifiers 1

IdentifierTypeStateIssuer
1684649-01MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040917000492 TX Part B Supplier - Clinic/Group Practice 4789652868 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

7806 Gateway Blvd E
El Paso, TX 79915
Phone (915) 566-7584

10501 Vista del Sol Dr
#20
El Paso, TX 79925
Phone (915) 592-8880

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1356524490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 VISTA DEL SOL DR",
            "address_2": "SUITE 200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257940",
            "telephone_number": "915-592-8880",
            "fax_number": "915-592-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 VISTA DEL SOL DR",
            "address_2": "SUITE 200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257940",
            "telephone_number": "915-592-8880",
            "fax_number": "915-592-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORIO JOEL CASTILLO, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "GREGORIO JOEL",
        "authorized_official_middle_name": "ASUNCION",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-592-8880",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "J8950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1684649-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.