Active NPI
Kenya Castellanos, LM, CPM
- Midwife
- San Marcos, CA
National Provider Identifier
1881468072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- LM713
- Practice address
- 1593 Casa Real LN
San Marcos, CA 92069-2217 - Phone
- (760) 703-5213
- NPI assigned
- Nov 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | LM713 | CA | Primary |
Addresses
Primary practice location
1593 Casa Real LN
San Marcos, CA 92069-2217
Mailing address
1593 Casa Real LN
San Marcos, CA 92069-2217
Phone (760) 703-5213
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
| License | State | Type | Specialty |
|---|---|---|---|
| LM713 | CA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1881468072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1593 CASA REAL LN",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920692217",
"telephone_number": "760-703-5213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1593 CASA REAL LN",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920692217",
"telephone_number": "760-703-5213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTELLANOS",
"first_name": "KENYA",
"name_prefix": "Ms.",
"credential": "LM, CPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-08",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "LM713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.