Active NPI
Luis Castaneda, P.T.
- Physical Therapist
- Fresno, CA
National Provider Identifier
1326272717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 35631
- Practice address
- 4011 N Fresno St
Suite 103
Fresno, CA 93726-4028 - Phone
- (559) 284-8882
- Fax
- (559) 227-4443
- NPI assigned
- May 13, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 35631 | CA | Primary |
Addresses
Primary practice location
4011 N Fresno St
Suite 103
Fresno, CA 93726-4028
Mailing address
5669 N Fresno St Apt 123
Fresno, CA 93710-8305
Phone (559) 284-8882
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 35631 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1326272717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5669 N FRESNO ST APT 123",
"city": "FRESNO",
"state": "CA",
"postal_code": "937108305",
"telephone_number": "559-284-8882",
"fax_number": "559-227-4443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4011 N FRESNO ST",
"address_2": "SUITE 103",
"city": "FRESNO",
"state": "CA",
"postal_code": "937264028",
"telephone_number": "559-284-8882",
"fax_number": "559-227-4443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTANEDA",
"first_name": "LUIS",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-13",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 35631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.