Shane Castro, MD
Individual provider Active NPI Psychiatry Physician · San Diego, CA
NPI 1467958413 · NPPES record last updated Sep 9, 2022
Key facts
- NPI
- 1467958413
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 177038 (CA)
- Practice address
- 200 W Arbor Dr
San Diego, CA 92103-9000 - Phone
- (800) 926-8273
- Fax
- (888) 539-8781
- NPI assigned
- Mar 30, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 29
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Regents of the University of California
Clinicas de Salud del Pueblo Inc
Practice addresses (Care Compare)
200 W Arbor Dr
San Diego, CA 92103-9000
Phone (858) 249-6753
223 W Cole Blvd
Calexico, CA 92231-9722
Phone (760) 357-2020
900 Main St
Brawley, CA 92227-2630
Phone (760) 344-6471
Hospital & facility affiliations
- UC San Diego Health Hillcrest - Hillcrest Med Ctr
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.77 of 100
- Quality
- 84.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.88
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220707000341 | CA | Practitioner - Psychiatry | 9830443316 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 177038 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current |
Accepting new patients | |
| Regents of the University of California | Psychiatry | Current |
Accepting new patients |
Locations
9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000
File 57326
Los Angeles, CA 90074
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
Interoperability endpoints
- shane.castro.p1@direct.cdsdp.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 177038 | CA | Yes |
Addresses
Primary practice location
200 W Arbor Dr
San Diego, CA 92103-9000
Mailing address
PO Box 232410
San Diego, CA 92193-2410
Other providers in San Diego, CA
- Nicolette Christa Castro
- Omar Castro
- Reuben Herman Castro
- Ricardo Castro
- Samantha Castro
- Sharon Castro
- Tracey Helene Castro
- Tyler Nathan Castro
- Vandric Jon Castro
- Vanessa Castro
All providers in San Diego, CA · Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2022. 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.