Organization Active NPI

Jose Gabriel Castellanos, MD, Inc.

  • Family Medicine Physician
  • Covina, CA
National Provider Identifier
1891875621
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A62398 Issued in CA
Legal business name
JOSE GABRIEL CASTELLANOS, MD, INC.
Practice address
234 E Badillo St
Covina, CA 91723-2115
Phone
(626) 915-9992
Fax
(626) 915-6108
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Dr. Jose Gabriel Castellanos, MDNPI 1669486783
Title
President
Phone
(626) 859-3297

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A62398 CA Primary

Addresses

Primary practice location

234 E Badillo St
Covina, CA 91723-2115

Mailing address

234 E Badillo St
Covina, CA 91723-2115
Phone (626) 915-9992

Other names 1

  • Castellanos Family Practice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041207000869 CA Part B Supplier - Clinic/Group Practice 4981660347 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: Covina, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1007306Castellanos Family Practice234 E Badillo St, Covina, CA 91723Certificate of waiverDec 12, 2026

National Provider Directory

National Provider Directory

Locations

228 E Badillo St
Covina, CA 91723
Phone (626) 732-9232

234 E Badillo St
Covina, CA 91723
Phone (626) 915-9992

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1891875621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 E BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232115",
            "telephone_number": "626-915-9992",
            "fax_number": "626-915-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917232115",
            "telephone_number": "626-915-9992",
            "fax_number": "626-915-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE GABRIEL CASTELLANOS, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "CASTELLANOS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-859-3297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A62398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castellanos Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.