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SAMUEL CASTRO PMHNP
NPI 1114811635
Nurse Practitioner - Psychiatric/Mental Health in Escondido, CA

Active since June 09, 2025PECOS Enrolled
810 LUNA VISTA DR, ESCONDIDO, CA 92025(760) 807-7926 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 2, 2026, Nov 6, 2025, Jun 9, 2025 (3 updates tracked since 2025).

About Samuel Castro Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL CASTRO PMHNP (NPI 1114811635) is an individual psychiatric/mental health provider in Escondido, California, licensed in California (95035773) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS, maintains a secondary practice location in Escondido, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1114811635
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameSAMUEL CASTROCredential: PMHNP
Location Address810 LUNA VISTA DREscondido, CA 92025-5246
Mailing Address810 Luna Vista DrEscondido, CA 92025-5246 · (760) 807-7926
Phone(760) 807-7926
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 9, 2025
Last NPPES UpdateJune 2, 20263 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1114811635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95035773
810 LUNA VISTA DR, Escondido, CA 92025
Open in Google Maps ↗

Secondary Practice Location 1

Location 1333 S Juniper St Ste 100Escondido, CA 92025-4954 · Phone (760) 807-7926

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Castro Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971076209
PECOS Enrollment IDI20260626003349
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Samuel Castro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
399 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAILA YOUSEFIAN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
810 LUNA VISTA DR
ESCONDIDO, CA 92025
San Diego County (858) 248-2194

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Castro's NPI number?

The NPI number for Samuel Castro is 1114811635. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Where is Samuel Castro located?

Samuel Castro practices at 810 Luna Vista Dr, Escondido, CA 92025. The listed phone number is (760) 807-7926.

What is Samuel Castro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Samuel Castro enrolled in Medicare?

Yes. Samuel Castro is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samuel Castro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Castro reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Castro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samuel Castro was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.