MRS. ODALIS CASTELLON PHYSICIAN ASSISTANT
NPI 1306120746
Physician Assistant - Surgical in Hollywood, FL

Q: What is Odalis Castellon's NPI number?

The NPI number for Odalis Castellon is 1306120746. It was assigned to this individual provider in the NPPES registry on October 4, 2011.

Q: What is Odalis Castellon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Odalis Castellon was last updated on October 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since October 04, 2011PECOS Enrolled

3449 JOHNSON STREET, HOLLYWOOD, FL 33021(954) 964-4113(954) 963-8121 Get Directions Write a Review

NPPES record last updated: October 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Odalis Castellon Physician Assistant NPPES

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

MRS. ODALIS CASTELLON PHYSICIAN ASSISTANT (NPI 1306120746) is an individual surgical provider in Hollywood, Florida, licensed in Florida (PA9101779) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306120746

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMRS. ODALIS CASTELLONCredential: PHYSICIAN ASSISTANT

Location Address3449 JOHNSON STREETHollywood, FL 33021

Mailing Address3449 Johnson StreetHollywood, FL 33021 · (954) 964-4113 · Fax (954) 963-8121

Phone(954) 964-4113

Fax(954) 963-8121

Sole ProprietorYes

Enumeration DateOctober 4, 2011

✔ NPI 1306120746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in FL · PA9101779

3449 JOHNSON STREET, Hollywood, FL 33021

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Odalis Castellon Physician Assistant 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.

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 Odalis Castellon's NPI number?

The NPI number for Odalis Castellon is 1306120746. It was assigned to this individual provider in the NPPES registry on October 4, 2011.

Where is Odalis Castellon located?

Odalis Castellon practices at 3449 Johnson Street, Hollywood, FL 33021. The listed phone number is (954) 964-4113.

What is Odalis Castellon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Odalis Castellon enrolled in Medicare?

Yes. Odalis Castellon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Odalis Castellon was last updated on October 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.