Individual provider Active NPI

Edgar Hugo Castellanos, M.D

  • Family Medicine Physician
  • Salinas, CA
National Provider Identifier
1619089943
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G60275 Issued in CA
Practice address
275 W Laurel Dr Ste a
Salinas, CA 93906-3460
Phone
(831) 755-1600
Fax
(831) 755-1606
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G60275 CA
Addiction Medicine (Family Medicine) Physician 207QA0401X G60275 CA
Family Medicine Physician 207Q00000X G60275 CA Primary

Addresses

Primary practice location

275 W Laurel Dr Ste a
Salinas, CA 93906-3460

Mailing address

275 W Laurel Dr Ste a
Salinas, CA 93906-3460
Phone (831) 755-1600

Other practice location 1

9400 N Name Uno
Gilroy, CA 95020-3528
Phone (408) 848-8680

Other identifiers 1

IdentifierTypeStateIssuer
00G602750MedicaidCA

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
I20050222000462 CA Practitioner - Family PracticePractitioner - Pain ManagementPractitioner - Addiction Medicine 0547212433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Addiction Medicine, Pain Management
Education
University of Southern California Keck School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Edgar H Castellanos M D a Medical CorporationGroup PAC ID 0648222539, 2 clinicians

Practice addresses (Care Compare)

262 San Jose St
Suite a
Salinas, CA 93901-3935
Phone (831) 755-1600

Hospital & facility affiliations

  • Central Coast Vna & Hospice, Inc Home health agency, Monterey, CA, CCN 057002
  • Salinas Valley Health Medical Center Hospital, Salinas, CA, CCN 050334

Merit-based Incentive Payment System (MIPS)

Final score
36.58 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
85.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J2487TXMDHematology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Door to Hope CurrentSince May 6, 2014 Accepting new patients
Edgar H. Castellanos MD a Medical Corporation Family Medicine CurrentSince Jan 1, 2005 Accepting new patients
Pinnacle Medical Group, Inc. Past Accepting new patients
Texas Institute of Medicine and Surgery Past Accepting new patients
Salinas Valley Memorial Healthcare System Past Accepting new patients

Locations

130 W Gabilan St
Salinas, CA 93901
Phone (831) 758-0181

262 San Jose St
Ste A
Salinas, CA 93901
Phone (831) 424-2531

275 W Laurel Dr
Ste A
Salinas, CA 93906
Phone (831) 449-1594

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1619089943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 W LAUREL DR STE A",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063460",
            "telephone_number": "831-755-1600",
            "fax_number": "831-755-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W LAUREL DR STE A",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063460",
            "telephone_number": "831-755-1600",
            "fax_number": "831-755-1606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9400 N Name Uno",
            "address_purpose": "LOCATION",
            "city": "Gilroy",
            "state": "CA",
            "postal_code": "950203528",
            "country_code": "US",
            "telephone_number": "408-848-8680",
            "fax_number": "408-848-8613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTELLANOS",
        "first_name": "EDGAR",
        "middle_name": "HUGO",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G60275",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "G60275",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G60275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G602750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.