Individual provider Active NPI

Calvine Garcia Castro, L.AC.

  • Acupuncturist
  • Temecula, CA
National Provider Identifier
1669567301
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC9012 Issued in CA
Practice address
43015 Black Deer Loop Ste 103
Temecula, CA 92590-3567
Phone
(951) 249-6236
Fax
(951) 246-9964
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC9012 CA Primary

Addresses

Primary practice location

43015 Black Deer Loop Ste 103
Temecula, CA 92590-3567

Mailing address

PO Box 1534
Wildomar, CA 92595-1534
Phone (951) 249-6236

Other practice location 1

29826 Haun Rd Ste 201
Menifee, CA 92586-6547
Phone (951) 249-6236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC9012CAMDAcupuncturist

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1669567301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1534",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925951534",
            "telephone_number": "951-249-6236",
            "fax_number": "951-246-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43015 BLACK DEER LOOP STE 103",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903567",
            "telephone_number": "951-249-6236",
            "fax_number": "951-246-9964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29826 Haun Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Menifee",
            "state": "CA",
            "postal_code": "925866547",
            "country_code": "US",
            "telephone_number": "951-249-6236",
            "fax_number": "951-246-9964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "CALVINE",
        "middle_name": "GARCIA",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.