DANIEL CARDENAL CASTRO M.D
NPI 1619310075
Family Medicine in San Diego, CA

Active since April 16, 2013PECOS EnrolledAccepts Medicare Assignment
73.62/100
CMS Quality Rating
5651 COPLEY DR, SAN DIEGO, CA 92111(858) 262-6240 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2025, Jun 28, 2024, Jun 17, 2019 (3 updates tracked since 2019).

About Daniel Cardenal Castro M.d NPPES

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

DANIEL CARDENAL CASTRO M.D (NPI 1619310075) is an individual family medicine provider in San Diego, California, licensed in California (A146588) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1619310075
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDANIEL CARDENAL CASTROCredential: M.D
Location Address5651 COPLEY DRSan Diego, CA 92111-7903
Mailing Address3974 Sorrento Valley Blvd Unit 910954San Diego, CA 92191-7040 · (619) 864-4287
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateApril 16, 2013
Last NPPES UpdateJune 17, 20253 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
NPI 1619310075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A146588
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.
5651 COPLEY DR, San Diego, CA 92111

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Daniel Cardenal Castro M.d 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 ID2961774765
PECOS Enrollment IDI20170814001994
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.

Areas of Expertise CMS Part B claims 7

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
928 services142 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
226 services145 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
177 services159 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
96 services93 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
93 services38 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
62 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92111 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Improvement Activities40
Cost58.69

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers22 claims22 services$42.38 avg. paid by Medicare
Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier13 claims13 services$6.87 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$42.95 avg. paid by Medicare
Mattress, foam rubber E0272
DME-Hospital Beds · category DB000N
1 supplier20 claims37 services$10.83 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress E0295
DME-Hospital Beds · category DB000N
1 supplier18 claims47 services$47.72 avg. paid by Medicare
Bed side rails, half length E0305
DME-Hospital Beds · category DB000N
1 supplier20 claims75 services$6.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Clinical Medical Laboratory
5651 COPLEY DR
SAN DIEGO, CA 92111
Physician Assistant
5651 COPLEY DR
SAN DIEGO, CA 92111
Health Educator
5651 COPLEY DR
SAN DIEGO, CA 92111
Health Educator
5651 COPLEY DR
SAN DIEGO, CA 92111
Nurse Practitioner (Family)
5651 COPLEY DR
SAN DIEGO, CA 92111
Family Medicine
5651 COPLEY DR
SAN DIEGO, CA 92111
Health Educator
5651 COPLEY DR
SAN DIEGO, CA 92111
Health Educator
5651 COPLEY DR
SAN DIEGO, CA 92111

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 Daniel Cardenal Castro's NPI number?

The NPI number for Daniel Cardenal Castro is 1619310075. It was assigned to this individual provider in the NPPES registry on April 16, 2013.

Where is Daniel Cardenal Castro located?

Daniel Cardenal Castro practices at 5651 Copley Dr, San Diego, CA 92111. The listed phone number is (858) 262-6240.

What is Daniel Cardenal Castro's specialty?

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

Is Daniel Cardenal Castro enrolled in Medicare?

Yes. Daniel Cardenal 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.

When was this NPI record last updated?

The NPPES record for Daniel Cardenal Castro was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.