Jacqueline G De Castro Md Inc | |
460 Greenfield Ave Suite 4 Hanford CA 93230-3500 | |
(559) 582-9100 | |
(559) 582-9103 |
Full Name | Jacqueline G De Castro Md Inc |
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Speciality | Family Medicine |
Location | 460 Greenfield Ave, Hanford, California |
Authorized Official Name and Position | Jacqueline G Decastro (CEO) |
Authorized Official Contact | 5595834510 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jacqueline G De Castro Md Inc Po Box 2117 Hanford CA 93232-2117 Ph: (559) 582-9100 | Jacqueline G De Castro Md Inc 460 Greenfield Ave Suite 4 Hanford CA 93230-3500 Ph: (559) 582-9100 |
NPI Number | 1255593299 |
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Provider Enumeration Date | 07/01/2008 |
Last Update Date | 03/07/2023 |
Medicare PECOS PAC ID | 9739248543 |
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Medicare Enrollment ID | O20081110000082 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255593299 | NPI | - | NPPES |
0-649-8026 | Other | ECFMG |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A101754 (California) | Primary |
Provider Name | Jacqueline G Decastro |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124241559 PECOS PAC ID: 5395804108 Enrollment ID: I20081110000062 |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1524 W Lacey Blvd, 202, Hanford, CA 93230 Phone: 559-583-4560 Fax: 559-583-4561 | |
Careatc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Campus Dr Bldg 5, Hanford, CA 93230 Phone: 800-993-8244 | |
James E Dean M D P C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1105 N Douty St, Suite B, Hanford, CA 93230 Phone: 559-582-0347 Fax: 559-582-7360 | |
Danilo R. Cruz, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1025 N Douty St, Hanford, CA 93230 Phone: 559-583-2254 Fax: 559-992-2899 | |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1524 W Lacey Blvd, 201a, Hanford, CA 93230 Phone: 559-583-4610 Fax: 559-583-4616 | |
Shyam Bhaskar, M.d. Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1105 N Douty St, Hanford, CA 93230 Phone: 559-582-0347 Fax: 559-635-7104 | |
Nairod Nerak Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1457 Bailey St, Hanford, CA 93230 Phone: 559-582-9100 |