Individual provider Active NPI

Luis Castro, PA

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1891801833
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PA13399 Issued in CA
Practice address
1832 W Sunset Blvd
Los Angeles, CA 90026-3227
Phone
(213) 413-1255
Fax
(213) 413-2843
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA13399 CA Primary

Addresses

Primary practice location

1832 W Sunset Blvd
Los Angeles, CA 90026-3227

Mailing address

1930 Wilshire Blvd
Suite 1100
Los Angeles, CA 90057-3605
Phone (213) 483-2620

Other identifiers 1

IdentifierTypeStateIssuer
PA13399MedicaidCA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210303001632 CA Practitioner - Physician Assistant 6800178211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Community Health Centers IncGroup PAC ID 9638082456, 47 clinicians

Practice addresses (Care Compare)

801 S Chevy Chase Dr
Suite 250
Glendale, CA 91205-4433
Phone (818) 265-2264

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13399CAMDAddiction (Substance Use Disorder) Counselor
PA13399CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Community Health Centers Inc Family Medicine CurrentSince Sep 3, 2023 Accepting new patients
Comprehensive Community Health Centers, Inc Family Medicine CurrentSince Sep 3, 2023 Accepting new patients
Walter Jayasinghe MD Apc Family Medicine Past Accepting new patients
Jayasinghe Medical Group Inc Past Accepting new patients
Walter Jayasinghe MD, Apc Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients

Locations

801 S Chevy Chase Dr
Ste 250
Glendale, CA 91205
Phone (818) 265-2259

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: luiscastro@cchc.trimed.direct-ci.com

Organizations & group practices 6

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891801833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 WILSHIRE BLVD",
            "address_2": "SUITE 1100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573605",
            "telephone_number": "213-483-2620",
            "fax_number": "213-483-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1832 W SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900263227",
            "telephone_number": "213-413-1255",
            "fax_number": "213-413-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "LUIS",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "PA13399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA13399",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.