Individual provider Active NPI

Haydee G Castaneda, M.D.

  • General Practice Physician
  • Huntington Park, CA
National Provider Identifier
1689741241
Registry record updated Jul 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A054867 Issued in CA
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, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A548672MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180123000676 CA Practitioner - General Practice 2466753819 Reassigns benefits to 2 organizations
I20251015003623 CA Practitioner - Family Practice 2466753819 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
A054867CAMDGeneral Practice Physician
54867CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emanate Health Medical Care Foundation CurrentSince Nov 17, 2025 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.