Active NPI
Eric Carl Castaneda
- Oxygen Equipment & Supplies (DME)
- Diamond Springs, CA
National Provider Identifier
1033302534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 103039
- Legal business name
- ERIC CARL CASTANEDA
- Doing business as
- DIAMOND SPRINGS MOBILITY
- Practice address
- 484 Pleasant Valley Rd.
Suite #20
Diamond Springs, CA 95619-9472 - Phone
- (530) 626-7638
- Fax
- (530) 626-3789
- NPI assigned
- Aug 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linda Elizabeth Soto
- Title
- Manager
- Phone
- (530) 626-7638
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 103039 | CA | Primary |
Addresses
Primary practice location
484 Pleasant Valley Rd.
Suite #20
Diamond Springs, CA 95619-9472
Mailing address
484 Pleasant Valley Rd.
Suite #20
Diamond Springs, CA 95619-9472
Phone (530) 626-7638
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME03242F | Medicaid | CA |
Other names 1
- DIAMOND SPRINGS MOBILITY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280448000000",
"number": "1033302534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "484 PLEASANT VALLEY RD.",
"address_2": "SUITE #20",
"city": "DIAMOND SPRINGS",
"state": "CA",
"postal_code": "956199472",
"telephone_number": "530-626-7638",
"fax_number": "530-626-3789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "484 PLEASANT VALLEY RD.",
"address_2": "SUITE #20",
"city": "DIAMOND SPRINGS",
"state": "CA",
"postal_code": "956199472",
"telephone_number": "530-626-7638",
"fax_number": "530-626-3789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERIC CARL CASTANEDA",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-20",
"last_updated": "2010-07-30",
"status": "A",
"authorized_official_last_name": "SOTO",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "530-626-7638"
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "CA",
"license": "103039",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DME03242F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DIAMOND SPRINGS MOBILITY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Diamond Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.