Healthcare Provider Details

I. General information

NPI: 1417279324
Provider Name (Legal Business Name): CLAUDIA CASTELNOVI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2010
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

390 N MAIN ST
BOUNTIFUL UT
84010-6046
US

IV. Provider business mailing address

390 N MAIN ST
BOUNTIFUL UT
84010-6046
US

V. Phone/Fax

Practice location:
  • Phone: 801-397-6350
  • Fax: 385-212-3234
Mailing address:
  • Phone: 801-397-6350
  • Fax: 385-212-3234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number12859434-1205
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA111170
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: