Miguel A Castuera, PA-C

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

PA13087 Issued in CA

Practice address

4451 Holt Blvd
Montclair, CA 91763-4116

Phone

(909) 624-3033

Fax

(909) 624-8440

NPI assigned

Sep 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Carrillo, Urbina & Castuera Inc

  • General Practice Physician
  • Montclair, CA
  • NPI 1811184526
  NPD (past)
• Herman Carrillo,M.D. & Marvin Urbina MD Proffesional Corporation

  • General Practice Physician
  • Baldwin Park, CA
  • NPI 1124214341
  NPD (past)

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1679769897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4451 HOLT BLVD",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917634116",
            "telephone_number": "909-624-3033",
            "fax_number": "909-624-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 HOLT BLVD",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917634116",
            "telephone_number": "909-624-3033",
            "fax_number": "909-624-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTUERA",
        "first_name": "MIGUEL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "PA13087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roxanne T Castillo
• Mervin Castrejon
• Ariana Castro
• Lizette Castro
• Maria Guadalupe Castro
• CDK Home Care Inc
• CDK Home Care, Inc.
• Cecilia N Soriano-Casaclang, MD, Inc.
• Cecille Ho DDS Inc.
• Cecille Ho DDS, Inc

• General Practice Physician in Montclair, CA
• Providers in Montclair, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.