Active NPI
Enrico Guanzon Castillo, M.D., M.S.H.P.M.
- Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1710204029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 136428
- Practice address
- 760 Westwood Plaza
Semel B7-435
Los Angeles, CA 90095 - Phone
- (213) 500-0924
- NPI assigned
- Apr 26, 2010
- Last updated
- Apr 1, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 136428 | CA | Primary |
Addresses
Primary practice location
760 Westwood Plaza
Semel B7-435
Los Angeles, CA 90095
Mailing address
760 Westwood Plaza
Semel B7-435
Los Angeles, CA 90095
Phone (213) 500-0924
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136428 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1710204029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 WESTWOOD PLAZA",
"address_2": "SEMEL B7-435",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90095",
"telephone_number": "213-500-0924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 WESTWOOD PLAZA",
"address_2": "SEMEL B7-435",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90095",
"telephone_number": "213-500-0924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "ENRICO",
"middle_name": "GUANZON",
"name_prefix": "Dr.",
"credential": "M.D., M.S.H.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-04-26",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "136428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.