Elizabeth P Castaneda, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33557 Issued in CA

Practice address

4342 Atlantic Avenue
Suite a
Long Beach, CA 90807-2829

Phone

(562) 981-1437

Fax

(562) 981-1438

NPI assigned

Mar 22, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• San Antonio Dental Inc

  • Dental Clinic/Center
  • Long Beach, CA
  • NPI 1063267748
  NPD Authorized official
• Elizabeth Castaneda, DMD, Inc.

  • General Practice Dentistry
  • Long Beach,, CA
  • NPI 1669886081
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265558944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4342 ATLANTIC AVENUE",
            "address_2": "SUITE A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072829",
            "telephone_number": "562-981-1437",
            "fax_number": "562-981-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4342 ATLANTIC AVENUE",
            "address_2": "SUITE A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072829",
            "telephone_number": "562-981-1437",
            "fax_number": "562-981-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANEDA",
        "first_name": "ELIZABETH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaiah Cassillas
• Cassondra del Rosario, LPCC Psychotherapist
• Kylie Andrea Cassotta, OTD, OTR/L
• Arcelia Castaneda
• Brisa Castaneda
• Guadalupe Castaneda
• Jessica Ryan Davidson Castaneda, M.A, LMFT
• Lesley Castaneda
• Leticia Castaneda, OTR, OTD
• Angela Jeaneth Castellanos, LCSW

• General Practice Dentistry in Long Beach, CA
• Providers in Long Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.