Active NPI
John P Castro, MD
- Family Medicine Physician
- Tempe, AZ
National Provider Identifier
1619953577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35673
- Practice address
- 1920 E Baseline Rd
CJ Harris Clinic
Tempe, AZ 85283-1511 - Phone
- (480) 345-5085
- Fax
- (480) 345-5266
- NPI assigned
- Dec 21, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35673 | AZ | Primary |
Addresses
Primary practice location
1920 E Baseline Rd
CJ Harris Clinic
Tempe, AZ 85283-1511
Mailing address
982 Chambers St
CJ Harris Clinic
Ogden, UT 84403-4571
Phone (480) 345-5085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160225002656 | UT | Order and Referring Only - Family Practice | 0143280065 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35673 | AZ | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453680000000",
"number": "1619953577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "982 CHAMBERS ST",
"address_2": "CJ HARRIS CLINIC",
"city": "OGDEN",
"state": "UT",
"postal_code": "844034571",
"telephone_number": "480-345-5085",
"fax_number": "480-345-5266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 E BASELINE RD",
"address_2": "CJ HARRIS CLINIC",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852831511",
"telephone_number": "480-345-5085",
"fax_number": "480-345-5266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "JOHN",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2016-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "35673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.