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

Dr. Charlton Castillo Lacerna, MD

Individual provider Family Medicine Physician · NPI 1235373135

Dr. Charlton Castillo Lacerna, MD is a Family Practice in Detroit, Michigan. Qualified in 1998, 28 years ago. Practices with Hawaii Permanente Medical Group Inc, a 705-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan and Washington.

Years since qualifying
28
Licensed in
MI, WA
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

19460 Grand River Ave
Detroit, MI 48223
Phone: (313) 387-1097
Fax: (313) 387-8795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 26004 104th Ave Se, Kent, WA 98030-7677 — (425) 251-4040

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301116455 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 60287621 (WA)

Record details

NPI number1235373135
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 23, 2009
Last updated in NPPESOctober 4, 2023
Certification dateOctober 4, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Hawaii Permanente Medical Group Inc — 705 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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