Individual provider Active NPI

Gregory Castillo, MD.

  • Family Medicine Physician
  • Downey, CA
National Provider Identifier
1700839917
Registry record updated Mar 7, 2023
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.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A53294 Issued in CA
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A532940MedicaidCA

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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A53294CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Shaib, M.D., Inc. CurrentSince Oct 1, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.