Organization Active NPI

Alexander F Castellanos MD Inc

  • Family Medicine Physician
  • Templeton, CA
National Provider Identifier
1831260520
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G37303 Issued in CA
Legal business name
ALEXANDER F CASTELLANOS MD INC
Practice address
699 S Main St
Ste a
Templeton, CA 93465-5103
Phone
(805) 434-1804
Fax
(805) 434-1855
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Authorized official

Name
Alexander F Castellanos, MDNPI 1770771511
Title
President
Phone
(805) 434-1804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G37303 CA Primary

Addresses

Primary practice location

699 S Main St
Ste a
Templeton, CA 93465-5103

Mailing address

699 S Main St
Ste a
Templeton, CA 93465-5103
Phone (805) 434-1804

Other identifiers 1

IdentifierTypeStateIssuer
00G373030MedicaidCA

Other names 1

  • Alexander F Castellanos MD Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080122000810 CA Part B Supplier - Clinic/Group Practice 7810078367 Receives reassigned benefits from 1 practitioner
Practice locations: Templeton, CA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0582785Alexander Castellanos MD Inc699 South Main Street, Suite a, Templeton, CA 93465Certificate of waiverJun 30, 2027

National Provider Directory

National Provider Directory

Locations

699 S Main St
#A
Templeton, CA 93465
Phone (805) 434-1804

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1831260520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 S MAIN ST",
            "address_2": "STE A",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934655103",
            "telephone_number": "805-434-1804",
            "fax_number": "805-434-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 S MAIN ST",
            "address_2": "STE A",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934655103",
            "telephone_number": "805-434-1804",
            "fax_number": "805-434-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER F CASTELLANOS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "CASTELLANOS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-434-1804",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G37303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G373030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alexander F Castellanos MD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Alexander F Castellanos MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Templeton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.