DR. LUIS JERONIMO CASTRO (NPI# 1679587893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679587893 |
| Entity Type | Individual |
| Full Name | DR. LUIS JERONIMO CASTRO |
| Credential | M.D. |
| Practice Address |
2900 Whipple Ave Suite 140 Redwood City CA 94062-2851 |
| Mailing Address |
3400 Data Dr Rancho Cordova CA 95670-7956 |
| Practice Telephone | 6502612366 |
| Practice Fax Number | 6502612369 |
| Mailing Telephone | 9163792915 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2014-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204F00000X | Transplant Surgery | G72322 | CA | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | G72322 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G723220 | 05 | |
| CA | RAILROAD MEDICARE | CP2153 | 01 |
| CA | GR0052800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861015117 | Luis Castro | Respiratory Therapist, Registered | Corner Or Route N12 and N7, Fort Defiance, AZ 86504-0589 | 2020-05-21 |
| 1396902789 | Luis Gumersindo Castro | Family Medicine | 8200 Sw 117 Ave, Suite 100, Miami, FL 33183-4382 | 2008-05-22 |
| 1336104900 | Luis J Castro | Family Medicine | 321 Gifford St, St Joseph's Primary Care Center West, Syracuse, NY 13204-3201 | 2006-04-18 |
| 1083119952 | Luis Normando Castro | Counselor | 8000 S Orange Ave Ste 111, Orlando, FL 32809-6747 | 2018-03-24 |
| 1609385814 | Luis V Castro | Physical Therapist | 746 E Fifteenth St, Yazoo City, MS 39194-2706 | 2017-09-20 |
| 1891801833 | Luis Castro | Family Medicine | 1832 W Sunset Blvd, Los Angeles, CA 90026-3227 | 2006-08-22 |
| Street Address |
2900 WHIPPLE AVE SUITE 140 |
| City | REDWOOD CITY |
| State | CA |
| Zip Code | 94062-2851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144213190 | Jeffery Marc Krakower | Internal Medicine | 2900 Whipple Ave, Suite 115, Redwood City, CA 94062-2843 | 2005-08-24 |
| 1538629712 | Jacqueline Hunter | Physician Assistant | 2900 Whipple Ave, Redwood City, CA 94062-2843 | 2019-03-22 |
| 1083151583 | Danielle Skarda | Physician Assistant | 2900 Whipple Ave, Suite 230, Redwood City, CA 94062-2843 | 2017-01-23 |
| 1568841393 | Angel Segura | Physician Assistant | 2900 Whipple Ave, Ste 230, Redwood City, CA 94062 | 2015-05-26 |
| 1366850174 | Bernhard A. Votteri Md, Inc | Internal Medicine | 2900 Whipple Ave, Suite # 115, Redwood City, CA 94062-2843 | 2014-07-24 |
| 1821413295 | Moshe Lewis Md Inc | Physical Medicine & Rehabilitation | 2900 Whipple Ave, Suite 210, Redwood City, CA 94062-2843 | 2014-02-21 |
| 1558635474 | Shalini Lal Bhambani | Internal Medicine | 2900 Whipple Ave, Redwood City, CA 94062-2843 | 2012-02-24 |
| 1801170725 | Tessa A Lannoy | Nurse Practitioner | 2900 Whipple Ave, Suite 130, Redwood City, CA 94062-2843 | 2011-10-11 |
| 1891087763 | Carol L. Merryfield, Md, Inc. | Obstetrics & Gynecology | 2900 Whipple Ave, Suite 140, Redwood City, CA 94062-2843 | 2011-05-10 |
| 1538391404 | Jean Warren Gillon Medical Corporation | Specialist | 2900 Whipple Ave, Suite #225, Redwood City, CA 94062-2843 | 2009-08-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063051803 | Birch Clinic Corporation | Acupuncturist | 39b Birch St, Redwood City, CA 94062 | 2019-12-26 |
| 1376084459 | Sneha Kadkol | Physical Therapist | 2944 Broadway Street, Redwood City, CA 94062 | 2017-03-09 |
| 1376081166 | B. Annye Rothenberg | Psychologist | 3943 Jefferson Ave., Emerald Hills, CA 94062 | 2017-02-01 |
| 1922410406 | Sheree Campbell | Psychologist | 40a Corto Ln, Woodside, CA 94062 | 2014-06-02 |
| 1902188832 | Delmar J Smith | Physician Assistant | 2900 Whipple Ave Ste 132, Redwood City, CA 94062 | 2011-09-16 |
| 1902192974 | Mariana Garcia | Counselor | 500 Allerton Street, Redwood City, CA 94062 | 2011-06-28 |
| 1386938264 | Julie Freschi | Physical Therapist | 3674 Sand Hill Rd, Woodside, CA 94062 | 2011-06-08 |
| 1669763702 | Jacqueline M Phillips | Pediatrics | 2979 Woodside Road, Woodside, CA 94062 | 2011-04-24 |
| 1396041208 | Arch Street Medical Associates | General Practice | 143 Birch Street, Redwood City, CA 94062 | 2011-02-10 |
| 1174843916 | Priyasheelta Nand | Internal Medicine | 2950 Whipple Avenue, Suite 3, Redwood City, CA 94062 | 2010-06-03 |
| Find all providers in zip 94062 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225069537 | Adam L Harmon | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2900 Whipple Ave, Suite 140, Redwood City, CA 94062-2843 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370728 | North County Cvt Surgery Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3156 Vista Way Ste 100, Oceanside, CA 92056-3694 | 2020-09-14 |
| 1417560756 | Valiana Vascular Institute Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 E Chapman Ave Ste 220, Fullerton, CA 92831-3108 | 2020-08-26 |
| 1891252474 | Miguel Puig Md A Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1430 Esplanade Ste 10, Chico, CA 95926-3366 | 2019-03-01 |
| 1598247991 | Pavel V Petrik Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1331 W Avenue J Ste 203, Lancaster, CA 93534-2954 | 2018-08-31 |
| 1942797378 | Sharon A Bogerty Md Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 105 N Bascom Ave Ste 101b, San Jose, CA 95128-1811 | 2018-04-20 |
| 1992231112 | Samer Kanaan Md A Professional Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27451 Los Altos, Suite 290, Mission Viejo, CA 92691 | 2017-05-08 |
| 1073065512 | Central California Chest Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 729 N Medical Center Dr W Ste 223, Clovis, CA 93611-6885 | 2016-11-01 |
| 1407214612 | George Arnold Mulder | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1150 Laurel St, Pasadena, CA 91103-2329 | 2016-02-02 |
| 1760849905 | Steven R Gundry Md Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 555 E Tachevah Dr Ste 3w103, Palm Springs, CA 92262-5747 | 2016-01-19 |
| 1386018687 | Riyad Youssef Tarazi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9120 Judicial Dr, Apt 7522, San Diego, CA 92122-6700 | 2015-11-24 |
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| City | REDWOOD CITY |
| Zip Code | 94062 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.