Myriam E Castaneda, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

20693 Issued in CA

Practice address

1140 Main St
Livingston, CA 95334-1257

Phone

(209) 394-7913

Fax

(209) 394-3660

NPI assigned

Jan 13, 2010

Last updated

Mar 9, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: myriam.castaneda.p3@direct.livingstoncommunity.nextgenshare.com

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.

• Lumira Healthcare

  dba Livingston Campus Center

  • Federally Qualified Health Center (FQHC)
  • Livingston, CA
  • NPI 1427110329
  Medicare reassignment NPD (past)
• Lumira Healthcare

  dba Modesto Florida Ave Center

  • Federally Qualified Health Center (FQHC)
  • Modesto, CA
  • NPI 1649099151
  NPD
• Lumira Healthcare

  dba Modesto Health Center

  • Federally Qualified Health Center (FQHC)
  • Modesto, CA
  • NPI 1760191811
  NPD
• Livingston Community Health

  dba Livingston Health Campus

  • Federally Qualified Health Center (FQHC)
  • Livingston, CA
  • NPI 1245721539
  NPD (past)
• Lumira Healthcare

  dba LCH Pharmacy

  • Community/Retail Pharmacy
  • Livingston, CA
  • NPI 1073175675
  NPD (past)
• Lumira Healthcare

  dba Hughson 3rd St Center

  • Federally Qualified Health Center (FQHC)
  • Hughson, CA
  • NPI 1508408550
  NPD (past)

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1710217799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 MAIN ST",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953341257",
            "telephone_number": "209-394-7913",
            "fax_number": "209-394-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 MAIN ST",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953341257",
            "telephone_number": "209-394-7913",
            "fax_number": "209-394-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANEDA",
        "first_name": "MYRIAM",
        "middle_name": "E",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-13",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "20693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PA20693",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth Elizabeth Cabral-Teixeira, D.M.D.
• Clark Campoy
• Angelica Maria Carranza, LCSW
• Jeffrey Michael Carter, DDS
• Brooke Morgan Casey, PHYSICIAN ASSISTANT
• Janet Castellanos
• Stephanie Castillo, FNP
• Pradeep Chand, PHARMACIST
• Taranvir Kaur Cheema
• Martina Cisneros, LCSW

• Physician Assistant in Livingston, CA
• Providers in Livingston, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.