| Leocarlo De Castro, | |
|
600 Alfred Nobel Dr Ste A, Hercules, CA 94547-1834 | |
| (510) 984-1103 | |
| (888) 628-9895 |
| Full Name | Leocarlo De Castro |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 600 Alfred Nobel Dr Ste A, Hercules, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396434874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 95022525 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| La Clinica De La Raza Inc | 1557258282 | 120 |
| Snf Specialists Medical Corporation | 3678849049 | 23 |
| Entity Name | La Clinica De La Raza Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144336181 PECOS PAC ID: 1557258282 Enrollment ID: O20040227001016 |
| Entity Name | Hospitalist Medicine Physicians Of California Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184663965 PECOS PAC ID: 8426062027 Enrollment ID: O20060202000956 |
| Entity Name | Snf Specialists Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497265565 PECOS PAC ID: 3678849049 Enrollment ID: O20171030003464 |
| Entity Name | Mpac Smh Of California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821660960 PECOS PAC ID: 6002206380 Enrollment ID: O20211130001905 |
| Entity Name | Parkhill Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801580006 PECOS PAC ID: 7810343480 Enrollment ID: O20231102002074 |
| Mailing Address | Practice Location Address |
|---|---|
| Leocarlo De Castro, 200 N La Salle St Ste 1550, Chicago, IL 60601-1034 Ph: () - | Leocarlo De Castro, 600 Alfred Nobel Dr Ste A, Hercules, CA 94547-1834 Ph: (510) 984-1103 |
Dr. Ogochukwu Raphaela Nwosu, DNP, FNP-BC,PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Alfred Nobel Dr Ste A, Hercules, CA 94547 Phone: 510-984-1103 | |
Ann Bonner, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 Chinquapin Ct, Hercules, CA 94547 Phone: 707-738-1987 | |
Maria Theresa Madueno Malasan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 138 Eagle Ct, Hercules, CA 94547 Phone: 707-315-0710 | |
Boris Yakov Brand, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Alfred Nobel Dr Ste A, Hercules, CA 94547 Phone: 510-984-1103 Fax: 888-628-9895 |