STEPHANIE CASTILLO MD
NPI 1902330723
Family Medicine - Addiction Medicine in San Ysidro, CA

Active since April 18, 2017PECOS EnrolledAccepts Medicare Assignment
1601 PRECISION PARK LN, SAN YSIDRO, CA 92173(619) 662-4100 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 3, 2021, Jun 17, 2020, Apr 18, 2017 (3 updates tracked since 2017).

About Stephanie Castillo Md NPPES

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

STEPHANIE CASTILLO MD (NPI 1902330723) is an individual addiction medicine provider in San Ysidro, California, licensed in California (A159673) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1902330723
Entity TypeIndividualFemale
Primary Taxonomy207QA0401X
Provider Legal NameSTEPHANIE CASTILLOCredential: MD
Location Address1601 PRECISION PARK LNSan Ysidro, CA 92173-1345
Mailing Address1601 Precision Park LnSan Ysidro, CA 92173-1345
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 18, 2017
Last NPPES UpdateAugust 3, 20213 updates tracked since enumeration
NPPES CertifiedAugust 3, 2021
✔ NPI 1902330723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
License✔ Licensed in CA · A159673
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
1601 PRECISION PARK LN, San Ysidro, CA 92173

Secondary Practice Locations 2

Location 17060 Clairemont Mesa BlvdSan Diego, CA 92111-1003 · Phone (213) 304-0326
Location 2Msc Dept Of Family Medicine 1 University Of New MexicoAlbuquerque, NM 87131-1003 · Phone (505) 272-6607

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

Stephanie Castillo 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 ID6507196532
PECOS Enrollment IDI20220502001179
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 Reassignment

Medicare enrollment records show Stephanie Castillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1666 PRECISION PARK LN
San Diego, CA 92173
  • Reassigned Medicare billing, California enrollment
  • 577 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 92173 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
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 20

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

Student in an Organized Health Care Education/Training Program
1601 PRECISION PARK LN
SAN DIEGO, CA 92173
Physician Assistant (Medical)
1601 PRECISION PARK LN
SAN DIEGO, CA 92173
Emergency Medicine
1601 PRECISION PARK LN
SAN DIEGO, CA 92173
Student in an Organized Health Care Education/Training Program
1601 PRECISION PARK LN
SAN DIEGO, CA 92173
Family Medicine
1601 PRECISION PARK LN
SAN DIEGO, CA 92173
Student in an Organized Health Care Education/Training Program
1601 PRECISION PARK LN
SAN YSIDRO, CA 92173
Dietitian, Registered
1601 PRECISION PARK LN
SAN YSIDRO, CA 92173
Social Worker (Clinical)
1601 PRECISION PARK LN
SAN DIEGO, CA 92173

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 Stephanie Castillo's NPI number?

The NPI number for Stephanie Castillo is 1902330723. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Where is Stephanie Castillo located?

Stephanie Castillo practices at 1601 Precision Park Ln, San Ysidro, CA 92173. The listed phone number is (619) 662-4100.

What is Stephanie Castillo's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Is Stephanie Castillo enrolled in Medicare?

Yes. Stephanie 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 organization bills Medicare for Stephanie Castillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Castillo reassigns Medicare benefits to Centro De Salud De La Comunidad De San Ysidro, Inc. (San Diego, CA). The 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 Stephanie 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 Stephanie Castillo was last updated on August 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.