Organization Active NPI

Eric Carl Castaneda

  • Oxygen Equipment & Supplies (DME)
  • Diamond Springs, CA
National Provider Identifier
1033302534
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
103039 Issued in CA
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

Updated by the provider on Jul 30, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DME03242FMedicaidCA

Other names 1

  • DIAMOND SPRINGS MOBILITY Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.