Individual provider Active NPI

Reynaldo Borja Castillo, M.D

  • General Practice Physician
  • Huntington Park, CA
National Provider Identifier
1376665729
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A39948 Issued in CA
Practice address
2675 E Slauson Ave
Huntington Park, CA 90255-2926
Phone
(323) 589-6681
Fax
(323) 589-4903
NPI assigned
Apr 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A39948 CA Primary

Addresses

Primary practice location

2675 E Slauson Ave
Huntington Park, CA 90255-2926

Mailing address

2675 E Slauson Ave
Huntington Park, CA 90255-2926
Phone (323) 589-6681

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A39948CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Verity Medical Foundation CurrentSince Feb 16, 2013 Accepting new patients
DCHS Medical Foundation CurrentSince Feb 16, 2013 Accepting new patients
Empire Wound Care General Practice CurrentSince Dec 1, 2024 Accepting new patients
All Care Medical Group Inc General Practice Past Accepting new patients
St Francis Medical Center Past Accepting new patients

Locations

2675 E Slauson Ave
Huntington Pk, CA 90255
Phone (213) 589-6681

3628 E Imperial Hwy
Ste 408
Lynwood, CA 90262
Phone (310) 554-4127

136 E Walnut Ave
Monrovia, CA 91016
Phone (323) 803-3284

1651 Response Rd
Ste 350
Sacramento, CA 95815
Phone (818) 450-1188

Organizations & group practices 5

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": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1376665729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 E SLAUSON AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552926",
            "telephone_number": "323-589-6681",
            "fax_number": "323-589-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 E SLAUSON AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552926",
            "telephone_number": "323-589-6681",
            "fax_number": "323-589-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "REYNALDO",
        "middle_name": "BORJA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-05",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A39948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.