Active NPI
Crystal Vanessa Castaneda, M.D.
- Pediatrics Physician
- Reno, NV
National Provider Identifier
1457766198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 19348
- Practice address
- 745 W Moana LN Ste 260
Reno, NV 89509-4991 - Phone
- (775) 982-5437
- Fax
- (630) 491-1864
- NPI assigned
- Jun 20, 2014
- Last updated
- Jun 30, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 19348 | NV | Primary |
| Pediatrics Physician | 208000000X | 125-065621 | IL |
Addresses
Primary practice location
745 W Moana LN Ste 260
Reno, NV 89509-4991
Mailing address
745 W Moana LN
Reno, NV 89509-4991
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457766198 | Medicaid | NV | |
| 125-065621 | Medicaid | IL |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125-065621 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renown Regional Medical Center | Past | Accepting new patients | |
| Community Care Services LLC | Pediatrics | Past | Accepting new patients |
| Ann & Robert H Lurie Childrens Hospital of Chicago | Past | Accepting new patients | |
| Prime Healthcare Services - Reno LLC | Past | Accepting new patients | |
| Community Care Services LLC | Past | Accepting new patients |
Interoperability endpoints
- ccastaneda156208@direct.renown.org
Organizations & group practices 5
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.
-
dba Renown Oncology Wellness
- Obstetrics & Gynecology Physician
- Reno, NV
- NPI 1982088274
-
dba Saint Mary's Regional Medical Center
- General Acute Care Hospital
- Reno, NV
- NPI 1801152566
-
- General Acute Care Hospital
- Reno, NV
- NPI 1124098421
-
- Children's Hospital
- Chicago, IL
- NPI 1538279518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1457766198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 W MOANA LN",
"city": "RENO",
"state": "NV",
"postal_code": "895094991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 W MOANA LN STE 260",
"city": "RENO",
"state": "NV",
"postal_code": "895094991",
"telephone_number": "775-982-5437",
"fax_number": "630-491-1864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTANEDA",
"first_name": "CRYSTAL",
"middle_name": "VANESSA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-20",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "19348",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "125-065621",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1457766198",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125-065621",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.