| Casto Chiropractic Inc | |
|
1156 Emerald Bay Rd, Bldg. C, South Lake Tahoe, CA 96150-6157 | |
| (530) 543-1201 | |
| (530) 543-1322 |
| Full Name | Casto Chiropractic Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1156 Emerald Bay Rd, South Lake Tahoe, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629219126 | NPI | - | NPPES |
| DC28482 | Other | CA | CHIROPRACTIC LICENSE |
| ZZZ53912Y | Other | CA | BLUE SHIELD |
| DA009Z | Other | CA | INDIVIDUAL PTAN |
| 1427145911 | Other | CA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | DC28482 (California) | Primary |
| Provider Name | Nichole L Casto |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427145911 PECOS PAC ID: 6002884129 Enrollment ID: I20040916001389 |
| Mailing Address | Practice Location Address |
|---|---|
| Casto Chiropractic Inc 15520 Rockfield Blvd Ste A200, Irvine, CA 92618-6705 Ph: (949) 598-9999 | Casto Chiropractic Inc 1156 Emerald Bay Rd, Bldg. C, South Lake Tahoe, CA 96150-6157 Ph: (530) 543-1201 |
Karen Marie Borges, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2074 Lake Tahoe Blvd Ste 5, South Lake Tahoe, CA 96150 Phone: 530-544-5800 Fax: 530-544-5802 | |
Dr. George E Worth, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3447 Lake Tahoe Blvd Ste 3, South Lake Tahoe, CA 96150 Phone: 530-541-8855 Fax: 530-541-7335 | |
Dr. Joshua Welch, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3637 Larch Ave Ste 1, Safe Haven Chiropractic, South Lake Tahoe, CA 96150 Phone: 530-577-5433 | |
David Borges, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2074 Lake Tahoe Blvd Ste 5, South Lake Tahoe, CA 96150 Phone: 530-544-5800 Fax: 530-544-5802 | |
Stanley H Jones, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3200 Us Highway 50, Unit 5, South Lake Tahoe, CA 96150 Phone: 530-577-2225 Fax: 530-577-0812 | |
Dr. Anthony Lawrence Naccarato, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 3447 Lake Tahoe Blvd Ste 3, South Lake Tahoe, CA 96150 Phone: 530-541-8855 Fax: 530-541-7335 | |
Dr. Jerry Lee Hoskin, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3121 Harrison Ave, South Lake Tahoe, CA 96150 Phone: 530-542-1447 |