Individual provider Active NPI

Ramon D. Castillo, DDS

  • Dentist
  • Newbury Park, CA
National Provider Identifier
1457829459
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS103269 Issued in CA
Practice address
38 Via Ricardo
Newbury Park, CA 91320-7001
Phone
(805) 390-7831
NPI assigned
Nov 7, 2018
Last updated
Nov 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS103269 CA Primary

Addresses

Primary practice location

38 Via Ricardo
Newbury Park, CA 91320-7001

Mailing address

38 Via Ricardo
Newbury Park, CA 91320-7001
Phone (805) 390-7831

Other practice location 1

2904 Theresa Dr Ste 1
Newbury Park, CA 91320-3153
Phone (805) 390-7831

Other identifiers 1

IdentifierTypeStateIssuer
122300000OtherCADENTAL

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DDS103269CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1457829459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 VIA RICARDO",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913207001",
            "telephone_number": "805-390-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 VIA RICARDO",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913207001",
            "telephone_number": "805-390-7831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2904 Theresa Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Newbury Park",
            "state": "CA",
            "postal_code": "913203153",
            "country_code": "US",
            "telephone_number": "805-390-7831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "RAMON",
        "middle_name": "D.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS103269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL",
            "identifier": "122300000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.