Active NPI
Marina Ortiz Castillo, MD
- Pediatrics Physician
- Stockton, CA
National Provider Identifier
1548406143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A97137
- Practice address
- 701 E Channel St
Stockton, CA 95202-2628 - Phone
- (209) 944-4700
- Fax
- (209) 373-2873
- NPI assigned
- Jan 2, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A97137 | CA | Primary |
Addresses
Primary practice location
701 E Channel St
Stockton, CA 95202-2628
Mailing address
1300 W Lodi Ave Ste P
Lodi, CA 95242-3038
Phone (209) 369-7493
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A97137 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Pediatrics | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Pediatrics | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients | |
| St. Joseph'S Hospital, Yonkers | Past | Accepting new patients | |
| County of San Joaquin | Past | Accepting new patients |
Locations
1300 W Lodi Ave
Ste P
Lodi, CA 95242
Phone (209) 366-1990
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
Interoperability endpoints
- mcastillo217787@hisp.ehr.sutterhealth.org
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
Pediatrics
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952327256
Pediatrics
-
- General Acute Care Hospital
- French Camp, CA
- NPI 1275605180
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
-
- General Acute Care Hospital
- Yonkers, NY
- NPI 1336236629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542153600000",
"number": "1548406143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 W LODI AVE STE P",
"city": "LODI",
"state": "CA",
"postal_code": "952423038",
"telephone_number": "209-369-7493",
"fax_number": "209-369-6858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E CHANNEL ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952022628",
"telephone_number": "209-944-4700",
"fax_number": "209-373-2873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "MARINA",
"middle_name": "ORTIZ",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-02",
"last_updated": "2018-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A97137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.