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NPI Code Detail

MEDICARE: ALI CASTANEDA

MEDICARE: ALI CASTANEDA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistLMFT154877CA

General Provider Information

NPI Number : 1861841314
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALI CASTANEDA
Provider Business Mailing Address
First Line : PO BOX 255228
Second Line :
City : SACRAMENTO
State : CA
Zip : 95865-5228
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 600 COFFEE RD
Second Line :
City : MODESTO
State : CA
Zip : 95355-4201
Country : US
Telephone Number : 209-524-1211
Fax Number : 209-550-4830
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2016
Last Update Date : 05/21/2026

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Directions to “ ALI CASTANEDA ” Practice Location

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