Individual provider Active NPI

Maria L Castillo, M.D.

  • Obstetrics & Gynecology Physician
  • San Diego, CA
National Provider Identifier
1962566489
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A067938 Issued in CA
Practice address
7930 Frost St Ste 103
San Diego, CA 92123-2738
Phone
(888) 217-9401
Fax
(888) 217-9429
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A067938 CA Primary

Addresses

Primary practice location

7930 Frost St Ste 103
San Diego, CA 92123-2738

Mailing address

12463 Rancho Bernardo Rd # 116
San Diego, CA 92128-2143
Phone (888) 217-9401

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
I20091229000162 CA Practitioner - Obstetrics/Gynecology 2163562968 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7930 Frost St
Suite 103
San Diego, CA 92123-2738
Phone (619) 462-2385

Hospital & facility affiliations

  • Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100
  • Grossmont Hospital Hospital, La Mesa, CA, CCN 050026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A067938CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Drs2C, Inc CurrentSince Aug 26, 2003 Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Scripps Health Past Accepting new patients
Palomar Health Past Accepting new patients

Locations

12463 Rancho Bernardo Rd
San Diego, CA 92128
Phone (760) 522-9403

7930 Frost St
Ste 103
San Diego, CA 92123
Phone (800) 395-9431

Interoperability endpoints

  • Direct secure messaging: mcastillo71737@scrippshlth.medalliesdirect.net
  • Direct secure messaging: maria@castillo.officeally.direct

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1962566489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12463 RANCHO BERNARDO RD # 116",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282143",
            "telephone_number": "888-217-9401",
            "fax_number": "888-217-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7930 FROST ST STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232738",
            "telephone_number": "888-217-9401",
            "fax_number": "888-217-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "MARIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A067938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.