Ruben Castaneda, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

14426 Issued in CA

Practice address

1345 Huntington Dr
Duarte, CA 91010-2527

Phone

(626) 359-8604

Fax

(626) 359-8563

NPI assigned

Jun 5, 2007

Sex

Male

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• La Paz Medical Clinic, Inc

  • Primary Care Clinic/Center
  • Duarte, CA
  • NPI 1124452875
  NPD

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394841600000",
    "number": "1285837633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 HUNTINGTON DR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102527",
            "telephone_number": "626-359-8604",
            "fax_number": "626-359-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 HUNTINGTON DR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102527",
            "telephone_number": "626-359-8604",
            "fax_number": "626-359-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANEDA",
        "first_name": "RUBEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2014-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "14426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Cardozo
• Yolanda Carlos
• Kylie Jenna Carpenter
• Charles Carpio, PHARMD
• Janet Carrillo, ASW
• Sergio Castaneda
• Dani Ran Castillo, MD
• Eisen Castro
• Paul Carlo Castro, AGACNP-BC
• Yvette Castro

• Physician Assistant in Duarte, CA
• Providers in Duarte, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2014; 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.