DR. SYLVIA MARGARITA CASTRO MD
NPI 1609439793
Family Medicine in Modesto, CA

Active since April 15, 2019PECOS EnrolledAccepts Medicare Assignment
1317 OAKDALE RD STE 440, MODESTO, CA 95355(209) 522-3362(209) 522-3363 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Sylvia Margarita Castro Md NPPES

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

DR. SYLVIA MARGARITA CASTRO MD (NPI 1609439793) is an individual family medicine provider in Modesto, California, licensed in California (A179885) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1609439793
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SYLVIA MARGARITA CASTROCredential: MD
Location Address1317 OAKDALE RD STE 440Modesto, CA 95355-3364
Mailing Address1317 Oakdale Rd Ste 440Modesto, CA 95355-3364 · (209) 522-3362 · Fax (209) 522-3363
Fax(209) 522-3363
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 15, 2019
Last NPPES UpdateJune 29, 2022
NPPES CertifiedJune 29, 2022
✔ NPI 1609439793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A179885
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1317 OAKDALE RD STE 440, Modesto, CA 95355

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

Dr. Sylvia Margarita Castro Md 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.

PECOS PAC ID8224413141
PECOS Enrollment IDI20220913003666
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 Sylvia Castro reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Federally Qualified Health Center (FQHC)
2116 E. ORANGEBURG AVE.
Modesto, CA 95355
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Livingston Community Health
  • 38 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
200 C ST
Patterson, CA 95363
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Golden Valley Health Centers
  • 440 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 95355 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 6

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

Physician Assistant (Medical)
1317 OAKDALE RD STE 440
MODESTO, CA 95355
Nurse Practitioner (Gerontology)
1317 OAKDALE RD STE 440
MODESTO, CA 95355
Nurse Practitioner
1317 OAKDALE RD STE 440
MODESTO, CA 95355
Nurse Practitioner
1317 OAKDALE RD STE 440
MODESTO, CA 95355
Clinic/Center (Multi-Specialty)
1317 OAKDALE RD STE 440
MODESTO, CA 95355
Nurse Practitioner (Family)
1317 OAKDALE RD STE 440
MODESTO, CA 95355

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 Sylvia Castro's NPI number?

The NPI number for Sylvia Castro is 1609439793. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Where is Sylvia Castro located?

Sylvia Castro practices at 1317 Oakdale Rd Ste 440, Modesto, CA 95355. The listed phone number is (209) 522-3362.

What is Sylvia Castro's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sylvia Castro enrolled in Medicare?

Yes. Sylvia Castro 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 Sylvia Castro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sylvia Castro reassigns Medicare benefits to 2 organizations: Lumira Healthcare (Modesto, CA) and Golden Valley Health Center (Patterson, 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 Sylvia 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 Sylvia Castro was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.