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

Leocarlo De Castro

Individual provider Nurse Practitioner · NPI 1396434874

Leocarlo De Castro is a Nurse Practitioner in Hercules, California. Qualified in 2022, 4 years ago. Practices with SNF Specialists Medical Corporation, a 26-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2023

Practice location Address checks out

600 Alfred Nobel Dr Ste A
Hercules, CA 94547-1834
Phone: (510) 984-1103
Fax: (888) 628-9895
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95022525 (CA)

Record details

NPI number1396434874
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 2, 2023
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026
Mailing address200 N La Salle St Ste 1550, Chicago, IL 60601-1034

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Snf Specialists Medical Corporation — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Hercules