Mr Gerardo Vidal Castaneda, is a
Community Health Worker based in Oakland, California. Mr Gerardo Vidal Castaneda is licensed to practice in * (Not Available) (license number ) and his current practice location is
954 60th St, Suite 10, Oakland, California. He can be reached at his office (for appointments etc.) via phone at
(510) 835-2505.
NPI number for Mr Gerardo Vidal Castaneda is 1134327166 and his current mailing address is 954 60th St, Suite 10, Oakland, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134327166.
Healthcare Provider's Profile
| Full Name | Mr Gerardo Vidal Castaneda |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 954 60th St, Oakland, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1134327166
- Provider Enumeration Date: 07/11/2007
- Last Update Date: 06/02/2016
Medical Identifiers
Medical identifiers for Mr Gerardo Vidal Castaneda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134327166 | NPI | - | NPPES |
| 0136 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Gerardo Vidal Castaneda is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Gerardo Vidal Castaneda,
954 60th St, Suite 10,
Oakland, CA 94608-2369
Ph: (510) 835-2505 | Mr Gerardo Vidal Castaneda,
954 60th St, Suite 10,
Oakland, CA 94608-2369
Ph: (510) 835-2505 |
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