Individual provider Active NPI

Sergio Alfredo Castaneda Munguia

  • Social Worker
  • San Bernardino, CA
National Provider Identifier
1710456769
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
126568 Issued in CA
Practice address
290 N D St
San Bernardino, CA 92401-1734
Phone
(909) 963-5355
Fax
(909) 313-2320
NPI assigned
Nov 20, 2018
Last updated
Dec 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Social Worker 104100000X 126568 CA Primary
Social Worker 104100000X ASW126568 CA

Addresses

Primary practice location

290 N D St
San Bernardino, CA 92401-1734

Mailing address

290 N D St
San Bernardino, CA 92401-1734
Phone (909) 963-5355

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
126568CAMDSocial Worker
ASW126568CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Victor Community Support Services, Inc CurrentSince Apr 27, 2025 Accepting new patients

Locations

2020 Iowa Ave
Ste 101
Riverside, CA 92507
Phone (951) 235-4055

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1710456769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 N D ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011734",
            "telephone_number": "909-963-5355",
            "fax_number": "909-313-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 N D ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011734",
            "telephone_number": "909-963-5355",
            "fax_number": "909-313-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANEDA MUNGUIA",
        "first_name": "SERGIO",
        "middle_name": "ALFREDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-20",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "126568",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW126568",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.