Individual provider Active NPI

Kindra Nicole Castor

  • Hematology & Oncology Physician
  • Monterey, CA
National Provider Identifier
1568089613
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
1972542959 Issued in CA
Practice address
5 Harris CT Ste 201
Monterey, CA 93940-5750
Phone
(831) 375-4105
Fax
(831) 642-4097
NPI assigned
Jul 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Hematology & Oncology Physician 207RH0003X 1972542959 CA Primary

Addresses

Primary practice location

5 Harris CT Ste 201
Monterey, CA 93940-5750

Mailing address

5 Harris CT Ste 201
Monterey, CA 93940-5750
Phone (831) 375-4105

Other practice location 1

2130 Fulton St
San Francisco, CA 94117-1080
Phone (415) 422-5555

Other practice location 2

23625 Holman Hwy
Monterey, CA 93940-5902
Phone (831) 622-2743

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231011004058 CA Practitioner - Nurse Practitioner 3678928611 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1972542959CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital of the Monterey Peninsula CurrentSince Jul 25, 2023 Accepting new patients
Community Hospital of the Monterey Peninsula CurrentSince Jul 25, 2023 Accepting new patients
Monterey Bay Oncology a Medical Corporation Hematology & Oncology CurrentSince Oct 18, 2023 Accepting new patients
Monterey Bay Oncology PastSince Oct 18, 2023 Accepting new patients

Locations

5 Harris Ct
Ste 201
Monterey, CA 93940
Phone (831) 375-4105

5 Harris Ct
Bldg T
Monterey, CA 93940
Phone (408) 375-4105

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

Organizations & group practices 4

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": "1593907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1568089613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HARRIS CT STE 201",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405750",
            "telephone_number": "831-375-4105",
            "fax_number": "831-642-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HARRIS CT STE 201",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405750",
            "telephone_number": "831-375-4105",
            "fax_number": "831-642-4097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 Fulton St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941171080",
            "country_code": "US",
            "telephone_number": "415-422-5555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23625 Holman Hwy",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939405902",
            "country_code": "US",
            "telephone_number": "831-622-2743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTOR",
        "first_name": "KINDRA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-05",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "1972542959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.