OrganizationJacqueline G De Castro Md IncFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address460 Greenfield Ave, Suite 4, Hanford, CA 93230-3500(559) 582-9100PECOS EnrollmentBased on the most recent information from CMS, provider Jacqueline G De Castro Md Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 11 days ago.Profile DetailsProvider ID1255593299Provider TypeOrganizationFull NameJacqueline G De Castro Md IncSubpartNoEnumeration Date7/1/2008Last Updated3/7/2023Contact InformationPractice LocationPractice Address460 Greenfield Ave, Suite 4, Hanford, CA 93230-3500Phone(559) 582-9100Fax(559) 582-9103Mailing LocationMailing AddressPO Box 2117, Hanford, CA 93232-2117Phone(559) 582-9100Fax(559) 582-9103Authorized OfficialNameDecastro, Jacqueline G (Ceo)Phone(559) 583-4510Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseA101754CaliforniaProvider IdentifiersIDDescriptionIssuerID0-649-8026DescriptionOtherIssuerECFMG