Marina Ortiz Castillo, MD | |
701 E Channel St, Stockton, CA 95202-2628 | |
(209) 944-4700 | |
(209) 373-2873 |
Full Name | Marina Ortiz Castillo |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 701 E Channel St, Stockton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548406143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A97137 (California) | Primary |
Entity Name | Sutter Valley Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
Mailing Address | Practice Location Address |
---|---|
Marina Ortiz Castillo, MD 1300 W Lodi Ave Ste P, Lodi, CA 95242-3038 Ph: (209) 369-7493 | Marina Ortiz Castillo, MD 701 E Channel St, Stockton, CA 95202-2628 Ph: (209) 944-4700 |
Dr. Erica R Waters, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 89 W March Ln, Ste 1, Stockton, CA 95207 Phone: 209-478-2622 | |
Amparo Romero-hirahara, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000 | |
Davina Elvina Lopes De Menezes, Pediatrics Medicare: Medicare Enrolled Practice Location: 7210 Murray Dr, Stockton, CA 95210 Phone: 209-373-2859 Fax: 209-373-2873 | |
John Arnel T. Macapinlac, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000 | |
Daksha V. Vaid, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000 | |
Nedaa N Issa, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2349 N California St, Stockton, CA 95204 Phone: 209-469-2229 Fax: 209-466-2436 | |
Ange Mouttapa, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 73 W March Lane, Suite F, Stockton, CA 95207 Phone: 209-952-5555 Fax: 209-952-1907 |