Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Caitlin De Castro

Individual provider Physician Assistant · NPI 1265219075

Caitlin De Castro is a Physician Assistant in San Mateo, California. Qualified in 2023, 3 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
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Practice location Address checks out

50 S San Mateo Dr
San Mateo, CA 94401-3857
Phone: (650) 652-8500
Fax: (650) 652-8501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1162 Montgomery Dr Fl 2, Santa Rosa, CA 95405-4802 — (707) 890-4100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA64051 (CA)

Record details

NPI number1265219075
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 13, 2023
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026
Mailing addressPo Box 276950, Sacramento, CA 95827-6950

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in San Mateo