GERARDO CASTRO


Address: 5555 Reservoir Dr # 204-a, San Diego, CA 92120-5134
Phone: 6198221800

GERARDO CASTRO (NPI# 1427683101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427683101
Entity Type Individual
Full Name GERARDO CASTRO
Practice Address 5555 Reservoir Dr # 204-a
San Diego
CA 92120-5134
Practice Telephone 6198221800
Mailing Telephone 6198221800
Enumeration Date 2020-03-03
Last Update Date 2020-03-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Other Providers GERARDO CASTRO

NPI Name Taxonomy Address Enumeration
1619068327 Gerardo Alfredo Castro Dentist 2125 East St, Concord, CA 94520-2011 2006-09-27
1780123737 Gerardo Castro Counselor 1212 N California St, Stockton, CA 95202-1552 2017-02-22
1386834778 Gerardo Castro Social Worker 520 E Tulare Ave, Visalia, CA 93292-3629 2007-07-31

Office Location

Street Address 5555 RESERVOIR DR # 204-A
City SAN DIEGO
State CA
Zip Code 92120-5134

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316550510 Jessica Elizabeth Knight Student in an Organized Health Care Education/Training Program 6383 Alvarado Ct, 310, San Diego, CA 92120 2020-08-26
1770195091 Julia Roccanova Student in an Organized Health Care Education/Training Program 6383 Alvarado Court, Suite 310, San Diego, CA 92120 2020-08-18
1225593601 Truself Training, Inc Clinic/Center 5125 Waring Road, San Diego, CA 92120 2019-02-09
1508381799 Antin Sachs In Home Supportive Care 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 2017-08-08
1588186415 Matthew B Wilbat Behavioral Analyst 6851 Alvarado Rd., #17, San Diego, CA 92120 2017-07-12
1548782923 Mori Khatibzadeh Dds Inc. Clinic/Center 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 2017-07-07
1306379359 Ken Samith Oerding Nurse Practitioner 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 2017-04-06
1396134409 Debra Michele Stern-ellis Social Worker 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 2015-01-13
1821494717 Shohreh Tourian Dentist 7451 Mission Gorge Road, San Diego, CA 92120 2014-11-05
1184049215 Charles Yin Counselor 6153 Fairmount Ave Suite #260, San Diego, CA 92120 2014-02-26
Find all providers in zip 92120

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043826753 Dayjahnay Shantay Davenport Peer Specialist 3347 Lincoln Ave, San Diego, CA 92104-2111 2020-09-17
1487298840 Garrett Ives Peer Specialist 2909 Keats St Apt 7, San Diego, CA 92106-2345 2019-10-29
1144882622 Melissa Ratsamy Peer Specialist 286 Euclid Ave Project Enable, #102, San Diego, CA 92114 2019-07-03
1699258459 Talya Donahue Peer Specialist 1045 Ninth Ave, San Diego, CA 92101 2018-09-07
1811434467 Deborah Sue Lynn Peer Specialist 140 W. Arbor Dr., Ucsd Gifford Outpatient Clinic, San Diego, CA 92103-2421 2017-01-20
1023463163 Miguel Pablo Surposa Peer Specialist 5711 Bolivar St, San Diego, CA 92139-1617 2016-04-26
1376140590 Leon Samuel Mancilla Peer Specialist 5555 Reservoir Dr, San Diego, CA 92120-5134 2020-10-01
1982210092 Nicole Lynn Iwan Peer Specialist 3491 Kurtz St Ste 150, San Diego, CA 92110-4430 2020-09-23
1962014001 Paulina Alvarado Peer Specialist 6160 Mission Gorge Rd, San Diego, CA 92120-3410 2020-08-19
1194333773 Paulina Vazquez Peer Specialist 4283 El Cajon Blvd Ste 115, San Diego, CA 92105-1289 2020-07-20
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92120

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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