Organization Active NPI

Castro Dental Office, P.C

Doing business as Elsa C. Castro, DDS

  • Dentist
  • Fremont, CA
National Provider Identifier
1528450319
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46033 Issued in CA
Legal business name
CASTRO DENTAL OFFICE, P.C
Doing business as
Elsa C. Castro, DDS
Practice address
39572 Stevenson PL Ste 129
Fremont, CA 94539-3075
Phone
(408) 821-9713
NPI assigned
Mar 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Authorized official

Name
Ms. Elsa C. Castro, DDSNPI 1801053871
Title
Ceo
Phone
(408) 821-9713

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 46033 CA Primary

Addresses

Primary practice location

39572 Stevenson PL Ste 129
Fremont, CA 94539-3075

Mailing address

39572 Stevenson PL.
Ste 129
Fremont, CA 94539-3075
Phone (408) 821-9713

Other names 1

  • Elsa C. Castro, DDS Doing business as

National Provider Directory

National Provider Directory

Locations

39572 Stevenson Pl
Ste 129
Fremont, CA 94539
Phone (408) 821-9713

1360 N Winchester Blvd
Ste 1
San Jose, CA 95128
Phone (408) 248-1135

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1528450319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39572 STEVENSON PL.",
            "address_2": "STE 129",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393075",
            "telephone_number": "408-821-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39572 STEVENSON PL STE 129",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393075",
            "telephone_number": "408-821-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTRO DENTAL OFFICE, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "ELSA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-821-9713",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elsa C. Castro, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.