Active NPI
Gerardo Vidal Castaneda
- Case Manager/Care Coordinator
- Berkeley, CA
National Provider Identifier
1134327166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1909 University Ave
Berkeley, CA 94704-1023 - Phone
- (510) 809-3004
- Fax
- (510) 809-3240
- NPI assigned
- Jul 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | CA | Primary | |
| Recreation Therapist | 225800000X |
Addresses
Primary practice location
1909 University Ave
Berkeley, CA 94704-1023
Mailing address
2215 San Jose Ave Apt B
Alameda, CA 94501-4954
Phone (510) 510-8385
Other practice location 1
954 60th St
Suite 10
Oakland, CA 94608-2369
Phone (510) 835-2505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0136 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bonita House, Inc. | Current | Accepting new patients | |
| Bonita House, Inc. | Past | Accepting new patients | |
| Mental Health Association of Alameda County | Past | Accepting new patients | |
| Mental Health Association of Alameda County | Past | Accepting new patients |
Locations
1909 University Ave
Berkeley, CA 94704
Phone (510) 809-3004
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Berkeley, CA
- NPI 1811559735
-
- Community/Behavioral Health Agency
- Oakland, CA
- NPI 1902253016
-
- Community/Behavioral Health Agency
- Berkeley, CA
- NPI 1346483872
-
- Community/Behavioral Health Agency
- Berkeley, CA
- NPI 1710184072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1134327166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 SAN JOSE AVE APT B",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945014954",
"telephone_number": "510-510-8385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 UNIVERSITY AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947041023",
"telephone_number": "510-809-3004",
"fax_number": "510-809-3240"
}
],
"practiceLocations": [
{
"address_1": "954 60th St",
"address_2": "Suite 10",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946082369",
"country_code": "US",
"telephone_number": "510-835-2505",
"fax_number": "510-835-1062",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VIDAL CASTANEDA",
"first_name": "GERARDO",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-11",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0136",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.