Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GERARDO VIDAL CASTANEDA
ActiveMR. GERARDO VIDAL CASTANEDA is a Recreation Therapist healthcare provider located in BERKELEY, California. NPI 1134327166 is currently active in the NPPES registry. Verify at CMS.
Recreation Therapist · BERKELEY, CA
Registration Details
- NPI Number
- 1134327166
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2007 (19.101689376916 yrs)
- Last Updated
- Jul 15, 2025
Practice Information
- Address
-
1909 UNIVERSITY AVEBERKELEY, CA, 947041023Browse CA providers · Browse ZIP 94704
- Phone
- 5108093004
- Fax
- 5108093240
- Primary Specialty
-
Recreation Therapist
225800000X
- Additional Specialty
- Community Health Worker
- Additional Specialty
- Recreation Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.