Adrian Edgardo Castro, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A111530 Issued in CA

Practice address

1346 Foothill Blvd
Suite 201
La Canada, CA 91011-2122

Phone

(818) 790-5583

Fax

(818) 790-9517

NPI assigned

Jun 16, 2008

Last updated

Aug 25, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in DC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  dba Kaiser Permanente Annapolis Medical Center

  • Health Maintenance Organization
  • Annapolis, MD
  • NPI 1952461816

  DC

  Medicare reassignment NPD
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  dba Kaiser Permanente Shady Grove Peritoneal Dialysis Facility

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rockville, MD
  • NPI 1962108753
  NPD
• Huntington Medical Foundation

  • Pediatrics Physician
  • La Canada, CA
  • NPI 1811043235
  NPD (past)
• The Huntington Medical Foundation

  dba Huntington Health Physicians

  • Internal Medicine Physician
  • Pasadena, CA
  • NPI 1154467181

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1649430372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 FOOTHILL BLVD",
            "address_2": "SUITE 201",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112122",
            "telephone_number": "818-790-5583",
            "fax_number": "818-790-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 FOOTHILL BLVD",
            "address_2": "SUITE 201",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112122",
            "telephone_number": "818-790-5583",
            "fax_number": "818-790-9517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "ADRIAN",
        "middle_name": "EDGARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A111530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1346 Foothill Blvd",
            "address_2": "Suite 201",
            "city": "LA Canada",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910112122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1346 Foothill Blvd",
            "address_2": "Suite 201",
            "city": "LA Canada",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910112122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sue Jennifer Breland, DPT
• Amy Burdick, M.S., LMFT
• C.M.I. Drug Corporation (Cal-Med Pharmacy West)
• Harold Jay Capeloto, PHARM. D
• Julia Cassetta, M.D.
• Cecilia Kaesler, D.O., Inc.
• Lisa Cerrina, MA, LMFT, ATR
• Guadalupe Araceli Cesar Nunez, LMFT
• Tony Chahine, O.D.
• Christa Rebecca Chandy, M.D.

• Pediatrics Physician in La Canada, CA
• Providers in La Canada, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.

Verify at the official NPI Registry.