Active NPI
Jason Casto, D.C.
- Chiropractor
- South Lake Tahoe, CA
National Provider Identifier
1407146921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC28633
- Practice address
- 1156 Emerald Bay Rd
Building C
South Lake Tahoe, CA 96150-6157 - Phone
- (530) 543-1801
- Fax
- (530) 543-1322
- NPI assigned
- Apr 18, 2011
- Last updated
- Apr 18, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC28633 | CA | Primary |
Addresses
Primary practice location
1156 Emerald Bay Rd
Building C
South Lake Tahoe, CA 96150-6157
Mailing address
15550 Rockfield Blvd Ste B220
Irvine, CA 92618-6703
Phone (949) 598-9999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040916001303 | CA | Practitioner - Chiropractic | 3678541778 | Practice locations: South Lake Tahoe, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC28633 | CA | MD | Chiropractor |
| 28633 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Casto Chiropractic Inc | Chiropractor | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- South Lake Tahoe, CA
- NPI 1629219126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303084800000",
"number": "1407146921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15550 ROCKFIELD BLVD STE B220",
"city": "IRVINE",
"state": "CA",
"postal_code": "926186703",
"telephone_number": "949-598-9999",
"fax_number": "949-598-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1156 EMERALD BAY RD",
"address_2": "BUILDING C",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961506157",
"telephone_number": "530-543-1801",
"fax_number": "530-543-1322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTO",
"first_name": "JASON",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-18",
"last_updated": "2011-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC28633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Lake Tahoe, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.