Individual provider Active NPI

Chester M. Castrence, PT

  • Physical Therapist
  • Santa Clara, CA
National Provider Identifier
1770829681
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT38162 Issued in CA
Practice address
1735 Lawrence Rd Apt 208
Santa Clara, CA 95051-2149
Phone
(408) 431-6469
NPI assigned
Dec 20, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT38162 CA Primary

Addresses

Primary practice location

1735 Lawrence Rd Apt 208
Santa Clara, CA 95051-2149

Mailing address

1735 Lawrence Rd Apt 208
Santa Clara, CA 95051-2149
Phone (408) 431-6469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130325000233 CA Practitioner - Physical Therapist in Private Practice 1557506425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

125 N Jackson Ave
Suite 201
San Jose, CA 95116-1915
Phone (408) 254-7722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38162CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
San Jose Physical Therapy Incorporated Physical Therapist CurrentSince Apr 6, 2025 Accepting new patients
Gustavo Paradiz PastSince Apr 6, 2025 Accepting new patients
Impaq Rehabilitation Specialists, Inc Past Accepting new patients

Locations

125 N Jackson Ave
Ste 201
San Jose, CA 95116
Phone (408) 254-7722

Organizations & group practices 3

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": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1770829681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 LAWRENCE RD APT 208",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950512149",
            "telephone_number": "408-431-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 LAWRENCE RD APT 208",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950512149",
            "telephone_number": "408-431-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRENCE",
        "first_name": "CHESTER",
        "middle_name": "M.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT38162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.