Casto Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC28482 Issued in CA

Legal business name

CASTO CHIROPRACTIC INC

Practice address

1156 Emerald Bay Rd
BLDG. C
South Lake Tahoe, CA 96150-6157

Phone

(530) 543-1201

Fax

(530) 543-1322

NPI assigned

Mar 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Nichole Casto, D.C.NPI 1427145911

Title

Owner / Provider

Phone

(530) 543-1201

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nichole Casto, D.C.

  • Chiropractor
  • S Lake Tahoe, CA
  • NPI 1427145911
  Medicare reassignment NPD Authorized official
• Jason Casto, D.C.

  • Chiropractor
  • South Lake Tahoe, CA
  • NPI 1407146921
  NPD (past)

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1629219126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15520 ROCKFIELD BLVD STE A200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926186705",
            "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": "BLDG. C",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506157",
            "telephone_number": "530-543-1201",
            "fax_number": "530-543-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTO CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "CASTO",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "530-543-1201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "DC28482",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ53912Y",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "DA009Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1427145911",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garnet Carlson, RPH
• Dennis Carmona, MFT
• Sarah Caro
• Andrea Dawn Carsoner-Landry
• Kevin John Cassidy, DDS
• Jason Casto, D.C.
• Elki Cederquist
• Jessica Cerasoli, L.AC.
• Chris Allen Cerceo, D.D.S.
• Jeff Chamberlain, DDS

• Chiropractor in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.

Verify at the official NPI Registry.