Active NPI
Gregory Castillo, MD.
- Family Medicine Physician
- Downey, CA
National Provider Identifier
1700839917
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Sep 20, 2022.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A53294
- Practice address
- 9040 Telegraph Rd Ste 102
Downey, CA 90240-2395 - Phone
- (562) 861-0954
- Fax
- (562) 231-1906
- NPI assigned
- May 18, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A53294 | CA | Primary |
Addresses
Primary practice location
9040 Telegraph Rd Ste 102
Downey, CA 90240-2395
Mailing address
PO Box 275
Artesia, CA 90702-0275
Phone (562) 622-2823
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A532940 | Medicaid | CA |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A53294 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Shaib, M.D., Inc. | Current | Accepting new patients | |
| Prairie Medical Group Inc | Past | Accepting new patients | |
| Prairie Medical Group | Past | Accepting new patients | |
| La Vida Multi-Specialty Medical Group | Past | Accepting new patients | |
| Prairie Medical Group Inc | Past | Accepting new patients | |
| La Vida Multispecialty Medical Group Inc | Past | Accepting new patients |
Locations
9040 Telegraph Rd
Ste 100
Downey, CA 90240
Phone (562) 861-0954
Interoperability endpoints
- gcastillo350204@oc.providencedirect.org
Organizations & group practices 6
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.
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- NPI 1194846410
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- Specialist
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- Specialist
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- NPI 1386790145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1700839917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 275",
"city": "ARTESIA",
"state": "CA",
"postal_code": "907020275",
"telephone_number": "562-622-2823",
"fax_number": "562-977-4220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 TELEGRAPH RD STE 102",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902402395",
"telephone_number": "562-861-0954",
"fax_number": "562-231-1906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "GREGORY",
"credential": "MD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2023-03-07",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A53294",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A532940",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Downey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.