NPIMap

Individual provider Active NPI

Dawn Marie Kim De Castro-Marceau, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Santee, CA
National Provider Identifier
1629275912
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
A132200 Issued in CA
Practice address
8701 Cuyamaca St
Santee, CA 92071
Phone
(619) 568-8220
Fax
(619) 568-8089
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X L22464093 MA
Ophthalmology Physician 207W00000X A132200 CA
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X L22464093 MA
Ophthalmic Plastic and Reconstructive Surgery Physician 207WX0200X A132200 CA Primary

Addresses

Primary practice location

8701 Cuyamaca St
Santee, CA 92071

Mailing address

8701 Cuyamaca St
Ste 800
Santee, CA 92071
Phone (619) 568-8220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150226001380 CA Practitioner - Ophthalmology 6002086857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, San Francisco School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sharp Rees-Stealy Medical Group IncGroup PAC ID 8628972759, 872 clinicians

Practice addresses (Care Compare)

10670 Wexford St
San Diego, CA 92131-3940
Phone (858) 621-4002

8701 Cuyamaca St
Santee, CA 92071-4253
Phone (858) 499-2600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
81.04
Promoting interoperability
99
Improvement activities
40
Cost
82.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A132200CAMDOphthalmology Physician
L22464093MAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc Ophthalmology CurrentSince Apr 3, 2017 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Apr 3, 2017 Accepting new patients
Gordon Schanzlin New Vision Institute, Inc. a Professional Medical Cor Ophthalmology CurrentSince Aug 1, 2016 Accepting new patients
Sharp Rees-Stealy Medical Center Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Rady Children'S Hospital San Diego Past Accepting new patients
Sharp Chula Vista Medical Center Ophthalmology Past Accepting new patients
Massachusetts Eye and Ear Infirmary Past Accepting new patients
South Suburban Ear, Nose & Throat Assoc Inc Past Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients
Massachusetts Eye and Ear Associates, Inc. Ophthalmology Past Accepting new patients
Sharp Coronado Hospital and Healthcare Center Past Accepting new patients

Locations

4130 La Jolla Village Dr
Ste 300
La Jolla, CA 92037
Phone (858) 455-6800

7862 El Cajon Blvd
La Mesa, CA 91942
Phone (619) 644-6401

10670 Wexford St
San Diego, CA 92131
Phone (858) 621-4010

8910 University Center Ln
Ste 800
San Diego, CA 92122
Phone (858) 455-6800

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

8701 Cuyamaca St
Ste 800
Santee, CA 92071

8701 Cuyamaca St
Santee, CA 92071
Phone (619) 568-8025

Interoperability endpoints

  • Direct secure messaging: ddecastromarceau25016@sharphealthcare.direct-ci.com

Organizations & group practices 12

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1629275912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 CUYAMACA ST",
            "address_2": "STE 800",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "92071",
            "telephone_number": "619-568-8220",
            "fax_number": "619-568-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 CUYAMACA ST",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "92071",
            "telephone_number": "619-568-8220",
            "fax_number": "619-568-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE CASTRO-MARCEAU",
        "first_name": "DAWN MARIE",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "L22464093",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A132200",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "MA",
            "license": "L22464093",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A132200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

Verify at the official NPI Registry.