Castle Biosciences, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CASTLE BIOSCIENCES, INC

Practice address

3737 N 7TH St
Suite 160
Phoenix, AZ 85014-5017

Phone

(281) 796-9032

Fax

(866) 431-2924

NPI assigned

Oct 2, 2008

Last updated

Mar 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Derek J Maetzold

Title

Ceo

Phone

(281) 796-9032

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Altheadx, Inc.

  • Clinical Medical Laboratory
  • San Diego, CA
  • NPI 1528490240

  Member Of

  NPD member
• Cernostics, Inc.

  • Clinical Medical Laboratory
  • Pittsburgh, PA
  • NPI 1235671884

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anna Justine Hamernick, N.P

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1699102780
  NPD
• Jane Wor Chan, MD

  • Neuro-ophthalmology Physician
  • Pasadena, CA
  • NPI 1528046216
  NPD
• Sherri Borman, PHD

  • Clinical Laboratory Director (Non-physician)
  • Phoenix, AZ
  • NPI 1386485977
  NPD (past)

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1770734253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 SAN MIGUEL DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465913",
            "telephone_number": "281-796-9032",
            "fax_number": "866-431-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 N 7TH ST",
            "address_2": "SUITE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145017",
            "telephone_number": "281-796-9032",
            "fax_number": "866-431-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE BIOSCIENCES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "MAETZOLD",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-796-9032",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004741190001",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100731920",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakisha Monique Castillo, BCBA
• Ma Yvonne Relampagos Castillo, RN
• Magdalena Castillo
• Myra Nikira Castillo, LPC
• Nicole Raquel Castillo
• Anikka Ducharme Castle, LPC
• Hajnalka Hanna Castle, CPNP-PC
• Michael Castleberry
• Margaret Essex Castor, WHNP
• Donna M Castrenze-Steele, FNP-C

• Clinical Medical Laboratory in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Medical Laboratory in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.