Individual provider Active NPI

Jonathan Edgardo Castro, PA-C

  • Medical Physician Assistant
  • Mission Hills, CA
National Provider Identifier
1841970944
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
14901 Rinaldi St Ste 200
Mission Hills, CA 91345-1254
Phone
(818) 365-8553
Fax
(818) 365-4524
NPI assigned
Jul 24, 2023
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X CA Primary

Addresses

Primary practice location

14901 Rinaldi St Ste 200
Mission Hills, CA 91345-1254

Mailing address

14901 Rinaldi St Ste 200
Mission Hills, CA 91345-1254
Phone (818) 365-8553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240819003583 LA Practitioner - Physician Assistant 6204374473 Reassigns benefits to 1 organization
I20241230002520 CA Practitioner - Physician Assistant 6204374473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8510 Balboa Blvd
Suite 150
Northridge, CA 91345-5810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Marillac Community Health Centers CurrentSince May 9, 2024 Accepting new patients
Santo Nino Health Center CurrentSince Dec 8, 2025 Accepting new patients
Santo Nino Health Center CurrentSince Dec 8, 2025 Accepting new patients
Marillac Community Health Centers CurrentSince May 9, 2024 Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Past Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. PastSince Jun 8, 2025 Accepting new patients

Locations

14901 Rinaldi St
Ste 200
Mission Hills, CA 91345
Phone (818) 254-1500

14901 Rinaldi St
Ste 203
Mission Hills, CA 91345
Phone (818) 830-7751

14427 Chase St
Ste 100
Panorama City, CA 91402
Phone (818) 830-7751

3201 S Carrollton Ave
New Orleans, LA 70118
Phone (504) 207-3019

Interoperability endpoints

  • Direct secure messaging: jonathan.castro.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 7

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": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1841970944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14901 RINALDI ST STE 200",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451254",
            "telephone_number": "818-365-8553",
            "fax_number": "818-365-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 RINALDI ST STE 200",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451254",
            "telephone_number": "818-365-8553",
            "fax_number": "818-365-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "JONATHAN",
        "middle_name": "EDGARDO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-24",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.