Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sally E. Decastro-Tilsen, PA

Individual provider Physician Assistant · NPI 1023282019

Sally E. Decastro-Tilsen, PA is a Physician Assistant in Newport Beach, California. Qualified in 1977, 49 years ago. Practices with C Philip O Carroll M D Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
49
Licensed in
CA
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

400 Newport Center Dr Ste 701
Newport Beach, CA 92660-7608
Phone: (949) 759-8001
Fax: (949) 760-3671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA 10296 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA 10296 (CA)

Record details

NPI number1023282019
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 22, 2008
Last updated in NPPESApril 22, 2008

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Group practice C Philip O Carroll M D Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Newport Beach