Individual provider Active NPI

Romel Castro

  • Certified Registered Nurse Anesthetist
  • Stockton, CA
National Provider Identifier
1972040756
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95000675 Issued in CA
Practice address
5928 Poppy Shores Way
Stockton, CA 95219-7264
Phone
(209) 817-6631
NPI assigned
Jan 31, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 95000675 CA Primary

Addresses

Primary practice location

5928 Poppy Shores Way
Stockton, CA 95219-7264

Mailing address

5928 Poppy Shores Way
Stockton, CA 95219-7264
Phone (209) 817-6631

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170609001927 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436427770 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Management Specialists Medical GroupGroup PAC ID 2860448685, 13 clinicians
Santa Maria Gastroenterology Medical Group Inc.Group PAC ID 6709070964, 23 clinicians

Practice addresses (Care Compare)

10 Santa Rosa St
Suite 201
San Luis Obispo, CA 93405-5826
Phone (805) 544-7246

361 Town Ctr W
Santa Maria, CA 93458-5076
Phone (805) 922-6581

426 Barcellus Ave
Suite 101
Santa Maria, CA 93454-6926
Phone (805) 925-8767

Merit-based Incentive Payment System (MIPS)

Final score
88.79 of 100Reported as group
Quality
74.86
Promoting interoperability
100
Improvement activities
40
Cost
73.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
95000675CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Pacific Anesthesia Nurse Anesthetist, Certified Registered CurrentSince May 4, 2023 Accepting new patients
Hullander and Mozingo LP CurrentSince Sep 17, 2020 Accepting new patients
Amsurg San Luis Obispo Anesthesia, LLC CurrentSince Dec 20, 2021 Accepting new patients
Pain Management Specialists Medical Group CurrentSince Oct 1, 2017 Accepting new patients
Pain Management Specialists Medical Group CurrentSince Oct 1, 2017 Accepting new patients
Hullander and Mozingo LP CurrentSince Sep 17, 2020 Accepting new patients
Anesthesia Medical Group of Santa Maria Inc Past Accepting new patients
Dignity Health PastSince Aug 26, 2021 Accepting new patients

Locations

5000 San Palo Rd
Ste 101
Atascadero, CA 93422
Phone (805) 470-1700

2901 Sillect Ave
Ste 200
Bakersfield, CA 93308
Phone (661) 326-1100

222 W Pueblo St
Santa Barbara, CA 93105
Phone (626) 720-3588

536 E Arrellaga St
Ste 104
Santa Barbara, CA 93103
Phone 80556303631511

816 E Enos Dr
Ste B
Santa Maria, CA 93454
Phone (805) 347-7813

314 S Stratford Ave
Santa Maria, CA 93454
Phone (805) 922-5655

426 Barcellus Ave
Ste 101
Santa Maria, CA 93454
Phone (805) 925-8767

10 Santa Rosa St
Ste 201
Sn Luis Obisp, CA 93405
Phone (805) 544-7246

77 Casa St
Ste 106
Sn Luis Obisp, CA 93405
Phone (805) 541-1021

4472 Broad St
Ste 150
Sn Luis Obisp, CA 93401
Phone (805) 364-8450

1320 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-0025

Organizations & group practices 10

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": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1972040756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5928 POPPY SHORES WAY",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952197264",
            "telephone_number": "209-817-6631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5928 POPPY SHORES WAY",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952197264",
            "telephone_number": "209-817-6631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "ROMEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.