Individual provider Active NPI

Veronica Castillo, PA

  • Physician Assistant
  • La Puente, CA
National Provider Identifier
1578737995
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
13831 Issued in CA
Practice address
15115 Amar Rd
La Puente, CA 91744-1914
Phone
(626) 918-4700
NPI assigned
Apr 16, 2008
Last updated
Jun 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 13831 CA Primary

Addresses

Primary practice location

15115 Amar Rd
La Puente, CA 91744-1914

Mailing address

1530 Hillhurst Ave
Los Angeles, CA 90027-5516
Phone (323) 644-3880

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
I20120503000180 CA Practitioner - Physician Assistant 4082876396 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute CurrentSince Aug 16, 2018 Accepting new patients
Open Door Community Health Centers CurrentSince Apr 9, 2018 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince May 4, 2015 Accepting new patients
Open Door Community Health Centers CurrentSince Apr 9, 2018 Accepting new patients
Perez Medical Group Inc CurrentSince Jul 2, 2023 Accepting new patients

Locations

1275 8th St
Arcata, CA 95521

770 10th St
Arcata, CA 95521
Phone (707) 826-8610

15115 Amar Rd
La Puente, CA 91744
Phone (626) 918-4700

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

Interoperability endpoints

  • Direct secure messaging: vcastillo948179@oc.providencedirect.org
  • Direct secure messaging: veronica.castillo.p1@direct.scfhc.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1578737995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 HILLHURST AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275516",
            "telephone_number": "323-644-3880",
            "fax_number": "323-644-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15115 AMAR RD",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917441914",
            "telephone_number": "626-918-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "VERONICA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "13831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Puente, CA

Sources for this page

Verify at the official NPI Registry.