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 2 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