Individual provider Active NPI

Tony Castillo

  • Radiologic Technologist
  • Santa Ana, CA
National Provider Identifier
1821159179
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
RHF67105 Issued in CA
Practice address
1651 E 4TH St
Suite 212
Santa Ana, CA 92701-5164
Phone
(714) 835-2915
Fax
(714) 543-3114
NPI assigned
Dec 12, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X RHF67105 CA Primary

Addresses

Primary practice location

1651 E 4TH St
Suite 212
Santa Ana, CA 92701-5164

Mailing address

PO Box 4427
Santa Ana, CA 92702-4427
Phone (714) 835-2915

Other identifiers 1

IdentifierTypeStateIssuer
XR059846FMedicaidCA

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
RHF67105CAMDRadiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tony Castillo Radiologic Technologist Current Accepting new patients
Saddleback Portable X-Ray Current Accepting new patients
Saddleback Portable X-Ray LLC Radiologic Technologist PastSince Jul 21, 2024 Accepting new patients

Locations

1651 E 4th St
Ste 212
Santa Ana, CA 92701
Phone (714) 835-2915

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821159179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4427",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927024427",
            "telephone_number": "714-835-2915",
            "fax_number": "714-543-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 E 4TH ST",
            "address_2": "SUITE 212",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015164",
            "telephone_number": "714-835-2915",
            "fax_number": "714-543-3114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "TONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "CA",
            "license": "RHF67105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XR059846F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.