Healthcare Provider Details

I. General information

NPI: 1982539102
Provider Name (Legal Business Name): SOUTHWEST DIABETES THYROID AND ENDOCRINE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2281 W 24TH ST
YUMA AZ
85364-6154
US

IV. Provider business mailing address

2281 W 24TH ST
YUMA AZ
85364-6154
US

V. Phone/Fax

Practice location:
  • Phone: 928-955-0002
  • Fax: 844-260-2871
Mailing address:
  • Phone: 928-955-0002
  • Fax: 844-260-2871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: OSCAR CASTRO
Title or Position: MANAGER
Credential: M.D
Phone: 928-304-8545