Leocarlo De Castro
Individual provider Active NPI Nurse Practitioner · Hercules, CA
NPI 1396434874 · NPPES record last updated Feb 19, 2026
Key facts
- NPI
- 1396434874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 95022525 (CA)
- Practice address
- 600 Alfred Nobel Dr Ste a
Hercules, CA 94547-1834 - Phone
- (510) 984-1103
- Fax
- (888) 628-9895
- NPI assigned
- May 2, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SNF Specialists Medical Corporation
Parkhill Health Inc
Practice addresses (Care Compare)
1255 Travis Blvd
Fairfield, CA 94533-4801
Phone (800) 973-1540
2455 Sand Creek Rd
Suite 144
Brentwood, CA 94513-7176
Phone (510) 703-4496
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230803002708 | CA | Practitioner - Nurse Practitioner | 9931560182 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95022525 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of California, Inc | Current |
Accepting new patients | |
| Parkhill Health Inc | Current |
Accepting new patients | |
| La Clinica de la Raza Inc | Current | Accepting new patients | |
| Mpac SMH of California PC | Nurse Practitioner | Current |
Accepting new patients |
| Midwest Post Acute Care PLLC | Nurse Practitioner | Current |
Accepting new patients |
| SNF Specialists Medical Corporation | Current |
Accepting new patients |
Locations
2455 Sand Creek Rd
Ste 144
Brentwood, CA 94513
Phone (510) 386-6136
1980 Felicita Rd
Escondido, CA 92025
Phone (750) 741-6109
1255 Travis Blvd
Fairfield, CA 94533
Phone (707) 425-0623
624 E Elder St
Fallbrook, CA 92028
Phone (760) 451-4165
9440 Citrus Ave
Fontana, CA 92335
Phone (909) 823-3481
600 Alfred Nobel Dr
Ste A
Hercules, CA 94547
Phone (510) 984-1103
4681 Eagle Rock Blvd
Los Angeles, CA 90041
Phone (323) 257-8151
2240 Gladstone Dr
Ste 4
Pittsburg, CA 94565
Phone (925) 431-1230
2351 Loveridge Rd
Pittsburg, CA 94565
Phone (925) 427-4444
501 Jessie Ave
Sacramento, CA 95838
Phone (916) 922-8855
13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500
600 E Washington Ave
Santa Ana, CA 92701
Phone (714) 973-1656
27600 Encanto Dr
Sun City, CA 92586
Phone (951) 679-6858
200 N La Salle St
Ste 1550
Chicago, IL 60601
Phone (773) 505-7027
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95022525 | CA | Yes |
Addresses
Primary practice location
600 Alfred Nobel Dr Ste a
Hercules, CA 94547-1834
Mailing address
200 N la Salle St Ste 1550
Chicago, IL 60601-1034
Other providers in Hercules, CA
- Darren NG OD Inc
- David Shen Dental Corp
- Charles Jay Davidson
- Deangelo Andre Davis
- Elizabeth Davis
- Wendy De la Luz
- Elmer De Leon
- Phinnillipa Degruy
- Gilad Dekel
- Julian Delgadillo
All providers in Hercules, CA · Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.