Individual provider Active NPI

Elsa Castro, DDS

  • Dentist
  • Fremont, CA
National Provider Identifier
1801053871
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46033 Issued in CA
Practice address
39572 Stevenson PL Ste 129
Fremont, CA 94539-3075
Phone
(408) 821-9713
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 46033 CA Primary

Addresses

Primary practice location

39572 Stevenson PL Ste 129
Fremont, CA 94539-3075

Mailing address

39572 Stevenson PL
Ste 129
Fremont, CA 94539-3075
Phone (408) 821-9713

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

State licenses

LicenseStateTypeSpecialty
46033CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Castro Dental Office, P.C Dentist CurrentSince Oct 8, 2023 Accepting new patients

Locations

39572 Stevenson Pl
Ste 129
Fremont, CA 94539
Phone (408) 821-9713

1360 N Winchester Blvd
Ste 1
San Jose, CA 95128
Phone (408) 248-1135

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1801053871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39572 STEVENSON PL",
            "address_2": "STE 129",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393075",
            "telephone_number": "408-821-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39572 STEVENSON PL STE 129",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393075",
            "telephone_number": "408-821-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "ELSA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "46033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.