Organization Active NPI

Conrad Castellino M.D. Inc.

  • Primary Care Clinic/Center
  • Merced, CA
National Provider Identifier
1720316078
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CONRAD CASTELLINO M.D. INC.
Practice address
520 W 27TH St
Merced, CA 95340-2833
Phone
(209) 383-4028
Fax
(209) 383-4062
NPI assigned
Nov 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
Dr. Conrad Joachim Castellino, M.D.
Title
Physician
Phone
(209) 383-4028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

520 W 27TH St
Merced, CA 95340-2833

Mailing address

520 W 27TH St
Merced, CA 95340-2833
Phone (209) 383-4028

National Provider Directory

National Provider Directory

Locations

520 W 27th St
Merced, CA 95340
Phone (209) 383-4028

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1720316078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W 27TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402833",
            "telephone_number": "209-383-4028",
            "fax_number": "209-383-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W 27TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402833",
            "telephone_number": "209-383-4028",
            "fax_number": "209-383-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONRAD CASTELLINO M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "CASTELLINO",
        "authorized_official_first_name": "CONRAD",
        "authorized_official_middle_name": "JOACHIM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "209-383-4028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.