Individual provider Active NPI

Steven Castro, MD

  • Family Medicine Physician
  • Ingleside, TX
National Provider Identifier
1801872346
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C146103 Issued in CA
Practice address
327 Coral Sea Drive
Suite 165
Ingleside, TX 78362-5025
Phone
(361) 776-4575
Fax
(361) 776-1103
NPI assigned
Dec 16, 2005
Last updated
May 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101058627 VA
Family Medicine Physician 207Q00000X C146103 CA Primary

Addresses

Primary practice location

327 Coral Sea Drive
Suite 165
Ingleside, TX 78362-5025

Mailing address

2450 Craven St BLDG 3300
San Diego, CA 92136-5599
Phone (619) 556-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150709000458 CA Order and Referring Only - Family PracticePractitioner - Family Practice 4880906551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C146103CAMDFamily Medicine Physician
0101058627VAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1801872346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 CRAVEN ST BLDG 3300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921365599",
            "telephone_number": "619-556-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 CORAL SEA DRIVE",
            "address_2": "SUITE 165",
            "city": "INGLESIDE",
            "state": "TX",
            "postal_code": "783625025",
            "telephone_number": "361-776-4575",
            "fax_number": "361-776-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101058627",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C146103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ingleside, TX

Sources for this page

Verify at the official NPI Registry.