Vidal Castaneda, Gerardo

Vidal Castaneda, Gerardo is an individual health care provider with primary practice located at 954 60Th St Suite 10, Oakland CA 94608-2369. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Vidal Castaneda, Gerardo can be contacted via phone (510) 835-2505.

Contact Information

Primary practice address
954 60Th St Suite 10 Oakland CA 94608-2369
Phone: (510) 835-2505
Fax: (510) 835-1062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1134327166
LBN Legal business name Vidal Castaneda, Gerardo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2007
Last updated Jun 2nd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134327166 NPPES
California MEDICAID 0136

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