Andres Ricardo Castaneda, SF IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

260 Anaconda St BLDG 262
San Diego, CA 92155-5125

Phone

(619) 537-3469

NPI assigned

Nov 26, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1811533656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 ANACONDA ST BLDG 262",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921555125",
            "telephone_number": "619-537-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 ANACONDA ST BLDG 262",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921555125",
            "telephone_number": "619-537-3469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34101 Farenholt Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921347000",
            "country_code": "US",
            "telephone_number": "619-532-7968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTANEDA",
        "first_name": "ANDRES",
        "middle_name": "RICARDO",
        "credential": "SF IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-26",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valeria Gisselle Castaneda Reyes
• Josephine M Castaneda-Diffenderffer
• Ivan Castaneda-Garcia
• Angelica Castaneda-Jaimes
• Alejandro R Castaneda, D.O., PH.D.
• Angelo Castaneda
• Ashley Castaneda
• Ashley Castaneda
• Erica A. Castaneda
• Erika Castaneda

• Independent Duty Corpsman in San Diego, CA
• Providers in San Diego, CA by specialty
• Independent Duty Corpsman in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.