Organization Active NPI

Castro Valley Pediatrics

  • Pediatrics Physician
  • Hayward, CA
National Provider Identifier
1801933668
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CASTRO VALLEY PEDIATRICS
Practice address
22290 Foothill Blvd., Ste. 1
Hayward, CA 94541
Phone
(510) 581-1446
Fax
(510) 581-1805
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Dr. Caren Vance, MD
Title
Partner Physician
Phone
(510) 581-1446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

22290 Foothill Blvd., Ste. 1
Hayward, CA 94541

Mailing address

22290 Foothill Blvd., Ste. 1
Hayward, CA 94541
Phone (510) 581-1446

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0599270Castro Valley Pediatrics22290 Foothill Blvd Ste 1, Hayward, CA 94541Certificate of waiverAug 14, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1801933668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22290 FOOTHILL BLVD., STE. 1",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "94541",
            "telephone_number": "510-581-1446",
            "fax_number": "510-581-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22290 FOOTHILL BLVD., STE. 1",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "94541",
            "telephone_number": "510-581-1446",
            "fax_number": "510-581-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTRO VALLEY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "CAREN",
        "authorized_official_title_or_position": "PARTNER PHYSICIAN",
        "authorized_official_telephone_number": "510-581-1446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.