Active NPI
Paul Castillo, MD, MPH
- Occupational Medicine Physician
- Las Vegas, NV
National Provider Identifier
1669737680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- G58990
- Practice address
- 1225 Swanbrooke Dr
Las Vegas, NV 89144-1636 - Phone
- (310) 666-9048
- NPI assigned
- Jul 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | G58990 | CA | Primary |
Addresses
Primary practice location
1225 Swanbrooke Dr
Las Vegas, NV 89144-1636
Mailing address
1225 Swanbrooke Dr
Las Vegas, NV 89144-1636
Phone (310) 666-9048
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G58990 | CA | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341446400000",
"number": "1669737680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 SWANBROOKE DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891441636",
"telephone_number": "310-666-9048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 SWANBROOKE DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891441636",
"telephone_number": "310-666-9048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "PAUL",
"credential": "MD, MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-05",
"last_updated": "2012-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "CA",
"license": "G58990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.