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Dr. Jesus Rafael Castillo , DDS

Dentist - General Practice β€’ Modesto, CA

Active NPI 1174103667 Individual Practitioner Male Practitioner
Practice location in NPPES

3125 Coffee Rd Ste 1
Modesto, CA 953551768

Call 2095292726 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3125 Coffee Rd Ste 1

Modesto, CA 953551768

Telephone 2095292726
Organization at the Same NPPES Address or Phone
Wayne T. Yee, Dds, Inc. Facility NPI 1952566101

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Castillo has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Castillo as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Modesto and California

128 active clinicians are listed under Dentist - General Practice with a practice address in Modesto, CA (17,862 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Modesto

0% of these 128 clinicians have the CMS telehealth indicator.

0% of these 128 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-04-08
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES CA DDS109655

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - DENTIST

Medicare Enrollment ID

I20210701000194

Enrollment State Jurisdiction

DE

PECOS Control ID

9931500642

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Wayne Yee , DDS

Dentist - General Practice

NPI 1568540524

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location April 08, 2025

Registered at 3125 COFFEE RD STE 1, MODESTO, CA 953551768 (Tel: 2095292726)

πŸ“
Updated Business Mailing Address April 08, 2025

Registered at 3125 COFFEE RD STE 1, MODESTO, CA 953551768 (Tel: 2095292726)

βœ…
NPI Profile Active April 09, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 09, 2021

Registered at 4755 OGLETOWN STANTON RD, NEWARK, DE 197182200 (Tel: 3027331043)

πŸ“
Business Mailing Address (Initial Record) April 09, 2021

Registered at 4755 OGLETOWN STANTON RD, NEWARK, DE 197182200 (Tel: 3027331043)

πŸ‘€
Provider Name / Credentials (Initial Record) April 09, 2021

Recorded as JESUS CASTILLO, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 09, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174103667
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2021
Last Update: April 08, 2025
Sole Proprietor: No

Other Dentist - General Practices in Modesto

All Dentist - General Practices in Modesto

Mailing Address

3125 Coffee Rd Ste 1

Modesto, CA 953551768

Phone: 2095292726

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.