| Caitlin De Castro, | |
|
50 S San Mateo Dr, San Mateo, CA 94401-3857 | |
| (650) 652-8500 | |
| (650) 652-8501 |
| Full Name | Caitlin De Castro |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 50 S San Mateo Dr, San Mateo, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265219075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA64051 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Medical Foundation | 8921993205 | 1461 |
| Sutter Bay Medical Foundation | 4284538778 | 3783 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871607762 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Caitlin De Castro, Po Box 276950, Sacramento, CA 95827-6950 Ph: (650) 652-8500 | Caitlin De Castro, 50 S San Mateo Dr, San Mateo, CA 94401-3857 Ph: (650) 652-8500 |
Denise Mary Ros, Physician Assistant Medicare: Medicare Enrolled Practice Location: 50 S San Mateo Dr, San Mateo, CA 94401 Phone: 650-652-8788 |
Elena Nimon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 280 Baldwin Ave, San Mateo, CA 94401 Phone: 650-344-1121 |
Alyssa Sahu, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 29 Baywood Ave, San Mateo, CA 94402 Phone: 650-235-7940 |
Maria De La Paz Guzman, P.A-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-2671 |
Jessica K Chu, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 222 W 39th Ave, San Mateo, CA 94403 Phone: 650-573-2222 Fax: 650-573-2214 |
Rebecca Forrest, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 S Ellsworth Ave, Suite 806, San Mateo, CA 94401 Phone: 650-401-6060 |
Samantha Oliveira, PA-C, MS, MPH Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 77 N San Mateo Dr, San Mateo, CA 94401 Phone: 650-342-0849 |