Active NPI
Haydee G Castaneda, M.D.
- General Practice Physician
- Huntington Park, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A054867
- Practice address
- 2955 E Florence Ave
Huntington Park, CA 90255-5836 - Phone
- (323) 585-0732
- Fax
- (323) 585-1673
- NPI assigned
- Nov 29, 2006
- Last updated
- Jul 12, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A054867 | CA | Primary |
Addresses
Primary practice location
2955 E Florence Ave
Huntington Park, CA 90255-5836
Mailing address
1005 S Burlwood Dr
Anaheim, CA 92807-5015
Phone (562) 965-0024
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A548672 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1975
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1041 W Badillo St
Suite 104
Covina, CA 91722-4194
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A054867 | CA | MD | General Practice Physician |
| 54867 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emanate Health Medical Care Foundation | Current | Accepting new patients | |
| St Francis Medical Center | Past | Accepting new patients | |
| CHHP Holdings II, LLC | Past | Accepting new patients | |
| Emanate Health Medical Group | General Practice | Past | Accepting new patients |
Locations
14514 Ramona Blvd
Ste 3
Baldwin Park, CA 91706
Phone (626) 337-0424
1115 S Sunset Ave
Ste 200
West Covina, CA 91790
Phone (626) 732-8390
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Multi-Specialty Clinic/Center
- West Covina, CA
- NPI 1467195073
-
dba San Jose Muiltispecialty Medical Group,Inc
- Family Medicine Physician
- Baldwin Park, CA
- NPI 1962560896
-
dba Community Hospital of Huntington Park
- General Acute Care Hospital
- Huntington Park, CA
- NPI 1891059127
-
- General Practice Physician
- Covina, CA
- NPI 1881054997
-
- Long Term Care Hospital
- Lynwood, CA
- NPI 1346378270
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Citrus Valley Medical Center Queen Of the Valley Campus
- General Acute Care Hospital
- West Covina, CA
- NPI 1063441293
-
dba Emanate Health Inter-Community Hospital
- Psychiatric Hospital Unit
- Covina, CA
- NPI 1215063151
-
dba Citrus Valley Medical Center Inter-Community Campus
- General Acute Care Hospital
- Covina, CA
- NPI 1982629440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436659200000",
"number": "1689741241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 S BURLWOOD DR",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928075015",
"telephone_number": "562-965-0024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2955 E FLORENCE AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902555836",
"telephone_number": "323-585-0732",
"fax_number": "323-585-1673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTANEDA",
"first_name": "HAYDEE",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2015-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A054867",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A548672",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.