Mr Gerardo Vidal Castaneda, is a
Recreation Therapist based in Berkeley, California. Mr Gerardo Vidal Castaneda is licensed to practice in * (Not Available) (license number ) and his current practice location is
1909 University Ave, Berkeley, California. He can be reached at his office (for appointments etc.) via phone at
(510) 809-3004.
NPI number for Mr Gerardo Vidal Castaneda is 1134327166 and his current mailing address is 2215 San Jose Ave Apt B, Alameda, 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 | Recreation Therapist |
|---|
| Location | 1909 University Ave, Berkeley, 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: 07/15/2025
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)) | Secondary |
| 225800000X | Recreation Therapist | (* (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,
2215 San Jose Ave Apt B,
Alameda, CA 94501-4954
Ph: (510) 510-8385 | Mr Gerardo Vidal Castaneda,
1909 University Ave,
Berkeley, CA 94704-1023
Ph: (510) 809-3004 |
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