Healthcare Provider Details

I. General information

NPI: 1407891393
Provider Name (Legal Business Name): CAROLE ANN CASTEEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 10/27/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1026 CALLOWAY DR SUITE 200
BAKERSFIELD CA
93312-6337
US

IV. Provider business mailing address

PO BOX 22650
BAKERSFIELD CA
93390-2650
US

V. Phone/Fax

Practice location:
  • Phone: 661-663-9090
  • Fax: 661-869-2003
Mailing address:
  • Phone: 661-869-2600
  • Fax: 661-869-2003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code156FX1100X
TaxonomyOphthalmic Technician/Technologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberG50991
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberG50991
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: