Individual provider Active NPI

Edgar Castillo-Armas, M.D.

  • Psychiatry Physician
  • Fresno, CA
National Provider Identifier
1851492847
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A40267 Issued in CA
Practice address
30 E River Park PL W
Suite # 310
Fresno, CA 93720-1545
Phone
(559) 433-1867
Fax
(559) 433-9715
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A40267 CA Primary

Addresses

Primary practice location

30 E River Park PL W
Suite # 310
Fresno, CA 93720-1545

Mailing address

30 E River Park PL W
Suite # 310
Fresno, CA 93720-1545
Phone (559) 433-1867

Other names 1

  • Edgar Castillo Former name

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
I20050411001180 CA Practitioner - Psychiatry 7416994579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1979
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2520 W Shaw LN
Suite 101C
Fresno, CA 93711-2768
Phone (559) 433-1867

30 E River Park PL W
Suite 310
Fresno, CA 93720-1547

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40267CAMDLicensed Psychiatric Technician
A40267CAMDPsychiatry Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1851492847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E RIVER PARK PL W",
            "address_2": "SUITE # 310",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937201545",
            "telephone_number": "559-433-1867",
            "fax_number": "559-433-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E RIVER PARK PL W",
            "address_2": "SUITE # 310",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937201545",
            "telephone_number": "559-433-1867",
            "fax_number": "559-433-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO-ARMAS",
        "first_name": "EDGAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A40267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDGAR",
            "last_name": "CASTILLO",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.