NPIMap

Individual provider Active NPI

Guillermo Castillo, M.D.

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1366558322
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A83282 Issued in CA
Practice address
2001 4TH Ave
San Diego, CA 92101-2303
Phone
(858) 499-2717
Fax
(858) 636-2210
NPI assigned
Aug 22, 2006
Last updated
May 5, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A83282 CA Primary

Addresses

Primary practice location

2001 4TH Ave
San Diego, CA 92101-2303

Mailing address

2001 4TH Ave
San Diego, CA 92101-2303
Phone (858) 499-2717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040913000620 CA Practitioner - Family Practice 9032186796 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Southern California Keck School of Medicine, 2001
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Vital Care Health Group a Medical CorporationGroup PAC ID 6103345061, 4 clinicians

Practice addresses (Care Compare)

1375 Oakpoint Ave
Chula Vista, CA 91913-2953
Phone (760) 662-8659

1426 University Ave
Suite C
Riverside, CA 92507-4401
Phone (951) 522-1425

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A83282CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
B&R Wound Care Family Medicine CurrentSince Apr 7, 2025 Accepting new patients
Sky-Care Diagnostic Monitoring Center LLC CurrentSince Aug 1, 2024 Accepting new patients
Vital Care Health Group a Medical Corporation CurrentSince Apr 1, 2025 Accepting new patients
My Primary Care Family Medicine CurrentSince Jul 26, 2025 Accepting new patients
Next Step Wound Care Family Medicine CurrentSince Oct 18, 2025 Accepting new patients
Advanced TMS Clinic Inc PastSince May 24, 2020 Accepting new patients
Pacific Health Systems, L.P. PastSince Oct 1, 2005 Accepting new patients

Locations

1741 Eastlake Pkwy
Ste 102305
Chula Vista, CA 91915

1426 University Ave
Ste C
Riverside, CA 92507
Phone (760) 696-7023

3110 Camino del Rio S
Ste 307
San Diego, CA 92108
Phone (619) 302-0832

3111 Camino del Rio N
Ste 400
San Diego, CA 92108
Phone (858) 244-5176

3111 Camino del Rio N
Ste 452
San Diego, CA 92108
Phone (760) 662-8659

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mount Sinai Hospice and Palliative Care IncRiverside, CA, CCN B21793 Hospice W-2 Managing Employee Nov 8, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1366558322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012303",
            "telephone_number": "858-499-2717",
            "fax_number": "858-636-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012303",
            "telephone_number": "858-499-2717",
            "fax_number": "858-636-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "GUILLERMO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A83282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.