Rodolfo Pernia Castro, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20135 Issued in CA

Practice address

1523 East Amar Road
Suite #2
West Covina, CA 91792-1619

Phone

(626) 839-9100

Fax

(626) 839-9106

NPI assigned

Oct 15, 2010

Last updated

Oct 15, 2010By the provider in NPPES

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• St Joseph Multi-Specialty Clinic Corp

  • Internal Medicine Physician
  • West Covina, CA
  • NPI 1487286316
  Medicare reassignment NPD

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1689984320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 WEST DRYDEN ST.",
            "address_2": "APT 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023303",
            "telephone_number": "626-839-9100",
            "fax_number": "626-839-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 EAST AMAR ROAD",
            "address_2": "SUITE #2",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921619",
            "telephone_number": "626-839-9100",
            "fax_number": "626-839-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "RODOLFO",
        "middle_name": "PERNIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Castro
• Jennifer Castro
• Maribel Castro
• Nicolas Castro Sr., RDO
• Ower Ciprian Castro
• Ruddy Castro
• Vivere Jabonillo Castro
• Micaela Kathleen Caudillo
• Cavalry Home Health Care, Inc.
• Denise Michelle Cazares

• Family Nurse Practitioner in West Covina, CA
• Providers in West Covina, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.