Individual provider Active NPI

Maria Decastro, MD

  • Anesthesiology Physician
  • West Hollywood, CA
National Provider Identifier
1528058633
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G84804 Issued in CA
Practice address
8700 Beverly Blvd
Suite 8211
West Hollywood, CA 90048-1804
Phone
(213) 637-3703
Fax
(213) 427-3659
NPI assigned
Oct 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G84804 CA Primary

Addresses

Primary practice location

8700 Beverly Blvd
Suite 8211
West Hollywood, CA 90048-1804

Mailing address

3530 Wilshire Blvd
Suite 350
Los Angeles, CA 90010-2328
Phone (213) 637-3703

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110125001137 CA Practitioner - Anesthesiology 8224217088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Missouri, Kansas City, School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Anesthesia Group IncGroup PAC ID 6204145105, 14 clinicians

Practice addresses (Care Compare)

450 N Roxbury Dr
Suite 600
Beverly Hills, CA 90210-4225
Phone (310) 651-2050

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
75.51
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G84804CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conejo Los Robles Anesthesiology Medical Group, Inc. Anesthesiology CurrentSince Nov 1, 2021 Accepting new patients
Precision Anesthesia Group Inc CurrentSince May 6, 2023 Accepting new patients
Prime Healthcare Centinela, LLC Past Accepting new patients

Locations

450 N Roxbury Dr
Ste 600
Beverly Hills, CA 90210
Phone (310) 651-2050

9735 Wilshire Blvd
Ste 100
Beverly Hills, CA 90212
Phone (310) 601-3900

450 N Roxbury Dr
Ste 240
Beverly Hills, CA 90210
Phone (310) 651-2040

120 S Spalding Dr
Ste 115
Beverly Hills, CA 90212
Phone (310) 385-7755

1801 W Olympic Blvd
#2100
Pasadena, CA 91199

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

Organizations & group practices 3

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": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1528058633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 WILSHIRE BLVD",
            "address_2": "SUITE 350",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102328",
            "telephone_number": "213-637-3703",
            "fax_number": "213-427-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 BEVERLY BLVD",
            "address_2": "SUITE 8211",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900481804",
            "telephone_number": "213-637-3703",
            "fax_number": "213-427-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECASTRO",
        "first_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G84804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.