CESAR CASTRO
NPI 1225630197
Nurse Practitioner - Family in San Diego, CA

Active since November 14, 2020PECOS Enrolled
1600 PACIFIC HWY STE 166, SAN DIEGO, CA 92101(619) 616-1559 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Cesar Castro NPPES

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

CESAR CASTRO (NPI 1225630197) is an individual family provider in San Diego, California, licensed in California (95021196) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225630197
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCESAR CASTRO
Location Address1600 PACIFIC HWY STE 166San Diego, CA 92101-2422
Mailing Address1520 E 14th StNational City, CA 91950-4921 · (619) 616-1559
Sole ProprietorYes
Enumeration DateNovember 14, 2020
Last NPPES UpdateJanuary 26, 2024
NPPES CertifiedJanuary 26, 2024
✔ NPI 1225630197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95021196
Also ListedRegistered NurseTaxonomy 163W00000X · License 95201992 (CA)
1600 PACIFIC HWY STE 166, San Diego, CA 92101

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Reassignments

2

Medicare enrollment records show Cesar Castro reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Maintenance Organization
200 OCEANGATE STE 100
Long Beach, CA 90802
  • Reassigned Medicare billing, California enrollment
  • 339 clinicians in this Medicare group
Health Maintenance Organization
1540 BRIDGEGATE DR
Diamond Bar, CA 91765
  • Reassigned Medicare billing, California enrollment
  • 283 clinicians in this Medicare group

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 92101 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.

Registered Nurse
1600 PACIFIC HWY STE 166
SAN DIEGO, CA 92101

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 Cesar Castro's NPI number?

The NPI number for Cesar Castro is 1225630197. It was assigned to this individual provider in the NPPES registry on November 14, 2020.

Where is Cesar Castro located?

Cesar Castro practices at 1600 Pacific Hwy Ste 166, San Diego, CA 92101. The listed phone number is (619) 616-1559.

What is Cesar Castro's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Cesar Castro enrolled in Medicare?

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

Which organizations bill Medicare for Cesar Castro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cesar Castro reassigns Medicare benefits to 2 organizations: Molina Healthcare Of California (Long Beach, CA) and Central Health Plan Of California, Inc. (Diamond Bar, CA). Each 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 Cesar 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 Cesar Castro was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.