Individual provider Active NPI

Claudia Castelnovi, M.D.

  • Pediatrics Physician
  • Bountiful, UT
National Provider Identifier
1417279324
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A111170 Issued in CA
Practice address
390 N Main St
Bountiful, UT 84010-6046
Phone
(801) 397-6350
Fax
(385) 212-3234
NPI assigned
Feb 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 12859434-1205 UT
Pediatrics Physician 208000000X A111170 CA Primary

Addresses

Primary practice location

390 N Main St
Bountiful, UT 84010-6046

Mailing address

390 N Main St
Bountiful, UT 84010-6046
Phone (801) 397-6350

Other practice location 1

11180 Warner Ave Ste 353
Fountain Valley, CA 92708-4098
Phone (800) 597-7977

Other practice location 2

9918 Katella Ave Ste A-C
Anaheim, CA 92804-6465
Phone (800) 597-7977

Other practice location 3

661 W 1st St Ste G
Tustin, CA 92780-2939
Phone (800) 597-7977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220330000907 CA Practitioner - Pediatric Medicine 1254626468 Reassigns benefits to 3 organizations
I20240827003387 UT Practitioner - Pediatric Medicine 1254626468 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
111170CAMDMarriage & Family Therapist
A111170CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Monterey County Memorial Hospital CurrentSince Nov 6, 2025 Accepting new patients
Ihc Health Services, Inc. CurrentSince Sep 29, 2024 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Southern Monterey County Memorial Hospital CurrentSince Nov 6, 2025 Accepting new patients
Southern Monterey County Memorial Hospital CurrentSince Nov 6, 2025 Accepting new patients
La Maestra Family Clinic, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Ihc Health Services Inc CurrentSince Sep 29, 2024 Accepting new patients
La Maestra Family Clinic Inc CurrentSince Dec 1, 2021 Accepting new patients
La Maestra Family Clinic, Inc. Current Accepting new patients

Locations

1032 Broadway
El Cajon, CA 92021
Phone 6192804213 ext. 3176

165 S 1st St
El Cajon, CA 92019
Phone (619) 312-0347

467 El Camino Real
Greenfield, CA 93927
Phone (831) 674-0112

210 Canal St
King City, CA 93930
Phone (931) 385-7100

809 Broadway St
Ste D
King City, CA 93930
Phone (831) 386-7437

300 Canal St
King City, CA 93930
Phone (831) 385-6000

101 N Highland Ave
Ste A
National City, CA 91950
Phone (619) 434-7308

4060 Fairmount Ave
San Diego, CA 92105
Phone (619) 255-9155

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

390 N Main St
N Salt Lake, UT 84010
Phone (801) 294-1000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDEGCD

Organizations & group practices 9

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": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1417279324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 N MAIN ST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106046",
            "telephone_number": "801-397-6350",
            "fax_number": "385-212-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 N MAIN ST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106046",
            "telephone_number": "801-397-6350",
            "fax_number": "385-212-3234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11180 Warner Ave Ste 353",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927084098",
            "country_code": "US",
            "telephone_number": "800-597-7977",
            "fax_number": "714-202-2626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9918 Katella Ave Ste A-C",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928046465",
            "country_code": "US",
            "telephone_number": "800-597-7977",
            "fax_number": "714-644-9894",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "661 W 1st St Ste G",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927802939",
            "country_code": "US",
            "telephone_number": "800-597-7977",
            "fax_number": "714-665-9891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTELNOVI",
        "first_name": "CLAUDIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-18",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "12859434-1205",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A111170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

Verify at the official NPI Registry.