RAE ANN CASTILLO
NPI 1417365784
Nurse Practitioner - Acute Care in Los Angeles, CA
About Rae Ann Castillo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RAE ANN CASTILLO (NPI 1417365784) is an individual acute care provider in Los Angeles, California, licensed in California (95001011) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Rae Ann Castillo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Rae Ann Castillo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90033
- Reassigned Medicare billing, California enrollment
- 2,445 clinicians in this Medicare group
Thousand Oaks, CA 91361
- Reassigned Medicare billing, California enrollment
- 20 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
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 Rae Ann Castillo's NPI number?
The NPI number for Rae Ann Castillo is 1417365784. It was assigned to this individual provider in the NPPES registry on July 30, 2014.
Where is Rae Ann Castillo located?
Rae Ann Castillo practices at 1500 San Pablo St Fl 7, Los Angeles, CA 90033. The listed phone number is (323) 442-6254.
What is Rae Ann Castillo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Rae Ann Castillo enrolled in Medicare?
Yes. Rae Ann Castillo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Rae Ann Castillo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rae Ann Castillo reassigns Medicare benefits to 2 organizations: Usc Care Medical Group, Inc (Los Angeles, CA) and Mark H Mazur MD & Barry Statner MD A Professional Corporation (Thousand Oaks, 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 Rae Ann Castillo'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 Rae Ann Castillo was last updated on November 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Rae Ann Castillo · NPI 1417365784
Acute Care physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since July 30, 2014.
## Identity
- **NPI:** 1417365784 (Entity type: Individual)
- **Enumerated:** July 30, 2014
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 95001011 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 SAN PABLO ST FL 7, Los Angeles, CA 90033-5313
- **Phone:** (323) 442-6254
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Usc Care Medical Group, Inc (NPI 1902846306, Los Angeles, CA); Mark H Mazur MD & Barry Statner MD A Professional Corporation (NPI 1376631341, Thousand Oaks, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** November 29, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1417365784) · Data from the CMS NPPES public registry.