Organization Active NPI

Castillejos Eye Institute Medical Group

  • Ophthalmology Physician
  • Chula Vista, CA
National Provider Identifier
1982775672
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A37652 Issued in CA
Legal business name
CASTILLEJOS EYE INSTITUTE MEDICAL GROUP
Practice address
342 F St
Chula Vista, CA 91910
Phone
(619) 422-1471
Fax
(619) 422-0450
NPI assigned
Nov 13, 2006
Last updated
Oct 8, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CASTILLEJOS EYE INSTITUTE MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Maria E Castillejos, M.D.NPI 1043395098
Title
General Partner
Phone
(619) 422-1471

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU
Ophthalmology Physician 207W00000X NU
Ophthalmology Physician 207W00000X A37652 CA Primary

Addresses

Primary practice location

342 F St
Chula Vista, CA 91910

Mailing address

342 F St
Chula Vista, CA 91910-2625
Phone (619) 422-1471

Other identifiers 2

IdentifierTypeStateIssuer
GSD004480MedicaidCA
GR0080800MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050622001351 CA Part B Supplier - Clinic/Group Practice 8729023478 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chula Vista, CA
O20100930084743 CA DME Supplier - Physician - Optometrist 8729023478 Practice locations: Chula Vista, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Castillejos Eye Institute Medical Group2 organizations share this tax ID, including this one
Part of
Castillejos Eye Institute Medical Group

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1982775672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 F ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102625",
            "telephone_number": "619-422-1471",
            "fax_number": "619-422-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 F ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91910",
            "telephone_number": "619-422-1471",
            "fax_number": "619-422-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTILLEJOS EYE INSTITUTE MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASTILLEJOS EYE INSTITUTE MEDICAL GROUP",
        "enumeration_date": "2006-11-13",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "CASTILLEJOS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "619-422-1471",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A37652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD004480",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0080800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.