David Andres Castro, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC36311 Issued in CA

Practice address

1016 Outer Rd
San Diego, CA 92154-1351

Phone

(619) 429-3733

NPI assigned

Apr 16, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• David Andres Castro Gottschalk Other name

Medicare fee-for-service enrollment

Enrolled in IN, CA2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EBEEDD
• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10012052
• Direct secure messaging: davidcastro@ibcc.allscriptsdirect.net

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.

• Serenity Care Health Group

  • Federally Qualified Health Center (FQHC)
  • Long Beach, CA
  • NPI 1245623156

  Chiropractor

  Medicare reassignment NPD
• Porter-Starke Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Valparaiso, IN
  • NPI 1689627598
  Medicare reassignment NPD
• Serenity Care Health Group

  • Federally Qualified Health Center (FQHC)
  • Long Beach, CA
  • NPI 1902663305
  NPD
• Porter-Starke Services Inc.

  • Federally Qualified Health Center (FQHC)
  • Valparaiso, IN
  • NPI 1659196236
  NPD
• Imperial Beach Community Clinic

  • Community Health Clinic/Center
  • San Diego, CA
  • NPI 1215246996
  NPD (past)

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1841557733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 D AVE UNIT 209",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919503404",
            "telephone_number": "314-874-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 OUTER RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921541351",
            "telephone_number": "619-429-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "DAVID",
        "middle_name": "ANDRES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-16",
        "last_updated": "2023-11-01",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013012",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4264",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "CASTRO GOTTSCHALK",
            "middle_name": "ANDRES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angela Yanira Castro, PHARMD
• Ann Mary Castro
• Belinda Castro, PHARMACY TECHNICIAN
• Cesar Castro
• Connie Yolanda Castro
• Eileen Lizbeth Castro
• Erika Lizbeth Castro, MD
• Garrett Herlindo Castro, DIVE IDC
• Gerardo Castro
• Guadalupe Angelica Castro

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.