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CARLOS ANTHONY CASTRO MSW
NPI 1205976941
Nurse Practitioner - Psychiatric/Mental Health in San Bernardino, CA

Active since February 08, 2007PECOS Enrolled
742 W HIGHLAND AVE, SAN BERNARDINO, CA 92405(909) 881-7320(909) 881-7330 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2024, Mar 12, 2021, Oct 31, 2019 (3 updates tracked since 2019).

About Carlos Anthony Castro Msw NPPES

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

CARLOS ANTHONY CASTRO MSW (NPI 1205976941) is an individual psychiatric/mental health provider in San Bernardino, California, licensed in California (95022963) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1205976941
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameCARLOS ANTHONY CASTROCredential: MSW
Location Address742 W HIGHLAND AVESan Bernardino, CA 92405-3839
Mailing Address742 W Highland AveSan Bernardino, CA 92405-3839 · (909) 881-7320 · Fax (909) 881-7330
Phone(909) 881-7320
Fax(909) 881-7330
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 8, 2007
Last NPPES UpdateSeptember 30, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
✔ NPI 1205976941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95022963
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 79451 (CA)
Also ListedRegistered NurseTaxonomy 163W00000X · License RN95235553 (CA)
742 W HIGHLAND AVE, San Bernardino, CA 92405
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1303 E Vanderbilt WaySan Bernardino, CA 92415-5230 · Phone (909) 386-8239
Location 21501 Hughes Way Ste 150Long Beach, CA 90810-1878 · Phone (310) 221-6336

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlos Anthony Castro Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850898081
PECOS Enrollment IDI20251006003708
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92405 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 20

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

DR. CECIL CAGUIOA LAQUI M.D.
Internal Medicine
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
San Bernardino County (909) 881-7320
MR. BRUCE G MCCANN PA-C
Physician Assistant (Medical)
742 W HIGHLAND AVE
SAN BERNRDINO, CA 92405
San Bernardino County (909) 881-7320
SACHIN KUMAR CHATTA M.D.
Family Medicine
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
San Bernardino County (909) 881-7320
MARETHA TYCE NP
Nurse Practitioner (Family)
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
San Bernardino County (909) 881-7320
MISS VICKI NICOLE GONZALEZ JR.
Nurse Practitioner
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
San Bernardino County (909) 881-7320
MS. ELAINE MARIE GACKLE NP
Nurse Practitioner (Family)
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
San Bernardino County (909) 213-0001
ANDREW REZK DO
Psychiatry & Neurology (Psychiatry)
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
San Bernardino County (909) 881-7320
DR. DANIEL LEE BRUCH D.O.
Pediatrics
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
San Bernardino County (909) 881-7320

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 Carlos Castro's NPI number?

The NPI number for Carlos Castro is 1205976941. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Carlos Castro located?

Carlos Castro practices at 742 W Highland Ave, San Bernardino, CA 92405. The listed phone number is (909) 881-7320.

What is Carlos Castro's specialty?

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

Is Carlos Castro enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Carlos Castro was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.