Organization Active NPI

G.S.Castillo, D.D.S. a Professional Corporation

  • Dentist
  • Hemet, CA
National Provider Identifier
1689866709
Registry record updated Aug 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50896 Issued in CA
Legal business name
G.S.CASTILLO, D.D.S. A PROFESSIONAL CORPORATION
Practice address
1001 E Latham Ave
D
Hemet, CA 92543-4435
Phone
(951) 652-1312
Fax
(951) 652-0771
NPI assigned
Aug 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2007

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

Authorized official

Name
Dr. Guillermo Salvador Castillo, DDS
Title
Doctor
Phone
(951) 652-1312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 50896 CA Primary

Addresses

Primary practice location

1001 E Latham Ave
D
Hemet, CA 92543-4435

Mailing address

1001 E Latham Ave
D
Hemet, CA 92543-4435
Phone (951) 652-1312

Other identifiers 1

IdentifierTypeStateIssuer
G94099-01MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1689866709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E LATHAM AVE",
            "address_2": "D",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434435",
            "telephone_number": "951-652-1312",
            "fax_number": "951-652-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E LATHAM AVE",
            "address_2": "D",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434435",
            "telephone_number": "951-652-1312",
            "fax_number": "951-652-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.S.CASTILLO, D.D.S. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_middle_name": "SALVADOR",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "951-652-1312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G94099-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.