Individual provider Active NPI

Manolito Velasquez Castillo, MD

  • Psychiatry Physician
  • Merced, CA
National Provider Identifier
1962585356
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A67937 Issued in CA
Practice address
2111 O St
Merced, CA 95340-3621
Phone
(209) 614-0208
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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 A67937 CA Primary

Addresses

Primary practice location

2111 O St
Merced, CA 95340-3621

Mailing address

2305 Golden Ave
Clovis, CA 93611-5069
Phone (209) 614-0208

Other practice location 1

1505 Claus Road
Modesto, CA 95355
Phone (209) 557-6300

Other practice location 2

1060 W Sierra Ave Ste 104
Fresno, CA 93711-2063
Phone (559) 437-1111

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
I20100524000508 CA Practitioner - Psychiatry 5991845521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bio-Behavioral Medical Clinics, IncGroup PAC ID 5395804140, 21 clinicians

Practice addresses (Care Compare)

1060 W Sierra Ave
Suite 105
Fresno, CA 93711-2063
Phone (559) 437-1111

Hospital & facility affiliations

  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A67937CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bio-Behavioral Medical Clinics, Inc Psychiatry CurrentSince May 1, 2012 Accepting new patients
M. Daisy Ilano Dba Journey to Kindness Health Management Services Psychiatry Past Accepting new patients
Merced Pathology Medical Group, Inc. Past Accepting new patients

Locations

7171 N Cedar Ave
Fresno, CA 93720
Phone (559) 449-2000

1060 W Sierra Ave
#105
Fresno, CA 93711
Phone (559) 437-1111

1060 W Sierra Ave
#104
Fresno, CA 93711
Phone (559) 437-1111

Organizations & group practices 3

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 1

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1962585356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 GOLDEN AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936115069",
            "telephone_number": "209-614-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 O ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953403621",
            "telephone_number": "209-614-0208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 Claus Road",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "95355",
            "country_code": "US",
            "telephone_number": "209-557-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1060 W Sierra Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937112063",
            "country_code": "US",
            "telephone_number": "559-437-1111",
            "fax_number": "559-437-1118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "MANOLITO",
        "middle_name": "VELASQUEZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A67937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.