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BLOSS MEMORIAL DISTRICT HOSPITAL CASTLE FAMILY HLTH CTR & ADULT DAYCAR NPI 1932366614


NPI Information

NPI: 1932366614
Provider Name: BLOSS MEMORIAL DISTRICT HOSPITAL CASTLE FAMILY HLTH CTR & ADULT DAYCAR

Doing Business As: CASTLE FAMILY HEALTH PHYSICIAN GROUP

Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 05D0900019

Address:
3605 HOSPITAL RD
ATWATER, CA
ZIP 95301
Phone: (209) 381-2000
Get Directions

BLOSS MEMORIAL DISTRICT HOSPITAL CASTLE FAMILY HLTH CTR & ADULT DAYCAR is an ophthalmology in Atwater, CA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. BLOSS MEMORIAL DISTRICT HOSPITAL CASTLE FAMILY HLTH CTR & ADULT DAYCAR NPI is 1932366614. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Castle Family Health Physician Group.

The provider's business location address is:

3605 HOSPITAL RD
ATWATER, CA
ZIP 95301-173
Phone: (209) 381-2000
Fax: (209) 726-0278

The provider's authorized official is Edward Hilario Lujan .
The authorized official title is Ceo and has the following contact phone number (209) 381-2000.

The CLIA number assigned to this NPI record is 05D0900019 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/20/2008 and was last updated on 5/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseA81776CALIFORNIANo
2207V00000XObstetrics & GynecologyG60458CALIFORNIANo
3207W00000XOphthalmologyC50290CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
155-3891MEDICARE PINCALIFORNIA
255-3892MEDICARE PINCALIFORNIA
3RHM18515FMEDICAIDCALIFORNIA
4RHM18537FMEDICAIDCALIFORNIA
555-3890MEDICARE PINCALIFORNIA
6ADUR0420FMEDICAIDCALIFORNIA
7RHM03997FMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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