| Alexander F Castellanos Md | |
|
699 S Main St Ste A Templeton CA 93465-5103 | |
| (805) 434-1804 | |
| (805) 434-1855 |
| Full Name | Alexander F Castellanos Md |
|---|---|
| Speciality | Family Medicine |
| Location | 699 S Main St, Templeton, California |
| Authorized Official Name and Position | Alexander F Castellanos (PRESIDENT) |
| Authorized Official Contact | 8054341804 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander F Castellanos Md 699 S Main St Ste A Templeton CA 93465-5103 Ph: (805) 434-1804 | Alexander F Castellanos Md 699 S Main St Ste A Templeton CA 93465-5103 Ph: (805) 434-1804 |
| NPI Number | 1831260520 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 02/05/2020 |
| Medicare PECOS PAC ID | 7810078367 |
|---|---|
| Medicare Enrollment ID | O20080122000810 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831260520 | NPI | - | NPPES |
| 00G373030 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G37303 (California) | Primary |
| Provider Name | Alexander F Castellanos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770771511 PECOS PAC ID: 4183705635 Enrollment ID: I20080122000807 |
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