Active NPI
Lauren Castro, RDN
- Registered Dietitian
- San Diego, CA
National Provider Identifier
1447726336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86091575
- Practice address
- 4449 39TH St
San Diego, CA 92116-4609 - Phone
- (508) 479-8919
- NPI assigned
- Oct 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86091575 | MA | Primary |
Addresses
Primary practice location
4449 39TH St
San Diego, CA 92116-4609
Mailing address
246 Gold St
Boston, MA 02127-2629
Phone (508) 479-8919
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1801 Lind Ave SW
Renton, WA 98057-3368
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86091575 | MA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1447726336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 GOLD ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021272629",
"telephone_number": "508-479-8919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4449 39TH ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921164609",
"telephone_number": "508-479-8919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "LAUREN",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-17",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "86091575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.