Active NPI
Elianne Berenice Castaneda, M.D.
- Pediatrics Physician
- Eugene, OR
National Provider Identifier
1073993697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD189064
- Practice address
- 151 W 7TH Ave Ste 100
Eugene, OR 97401-2676 - Phone
- (541) 682-3550
- Fax
- (541) 682-3551
- NPI assigned
- Jun 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | MD189064 | OR | Primary |
Addresses
Primary practice location
151 W 7TH Ave Ste 100
Eugene, OR 97401-2676
Mailing address
2073 Olympic St
Springfield, OR 97477-3413
Phone (541) 682-3550
Other practice location 1
3100 SW 62nd Ave
Miami, FL 33155-3009
Phone (305) 666-6511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD189064 | OR | MD | Pediatrics Physician |
Interoperability endpoints
- elianne.castaneda.p1@direct.lanecounty.nextgenshare.com
- ecastaneda684056@direct.ochin.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Springfield, OR
- NPI 1326138314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528761600000",
"number": "1073993697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2073 OLYMPIC ST",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974773413",
"telephone_number": "541-682-3550",
"fax_number": "541-682-3551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 W 7TH AVE STE 100",
"city": "EUGENE",
"state": "OR",
"postal_code": "974012676",
"telephone_number": "541-682-3550",
"fax_number": "541-682-3551"
}
],
"practiceLocations": [
{
"address_1": "3100 SW 62nd Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331553009",
"country_code": "US",
"telephone_number": "305-666-6511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTANEDA",
"first_name": "ELIANNE",
"middle_name": "BERENICE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-09",
"last_updated": "2018-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "MD189064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.