Individual provider Active NPI

Jordan Del Castillo, PA-C

  • Medical Physician Assistant
  • Milpitas, CA
National Provider Identifier
1417761586
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1487 Landess Ave
Milpitas, CA 95035-6953
Phone
(408) 909-0015
Fax
(669) 500-7491
NPI assigned
Feb 6, 2025
Last updated
Mar 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X CA Primary

Addresses

Primary practice location

1487 Landess Ave
Milpitas, CA 95035-6953

Mailing address

1487 Landess Ave
Milpitas, CA 95035-6953
Phone (408) 909-0015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260219003685 CA Order and Referring Only - Physician Assistant 3476034208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
66114CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Urgent Care Providers a Medical Corporation Single Specialty CurrentSince Mar 30, 2025 Accepting new patients
Action Urgent Care Inc Single Specialty CurrentSince Mar 30, 2025 Accepting new patients

Locations

1487 Landess Ave
Milpitas, CA 95035
Phone (408) 416-5371

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24970/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1417761586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1487 LANDESS AVE",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356953",
            "telephone_number": "408-909-0015",
            "fax_number": "669-500-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1487 LANDESS AVE",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356953",
            "telephone_number": "408-909-0015",
            "fax_number": "669-500-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL CASTILLO",
        "first_name": "JORDAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

Verify at the official NPI Registry.