Dr. Ruperto Castaneda Vallarta Jr.
M.D. | Pediatrics | Male
Dr. Ruperto Castaneda Vallarta Jr., M.D. is a Redmond, Oregon based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Ruperto Castaneda Vallarta Jr. is
211 Nw Larch Ave, Redmond, Oregon - 97756-1357. He can be contacted on phone at
541-548-2164 and fax number 541-548-0534.
Dr. Ruperto Castaneda Vallarta Jr. is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Ruperto Castaneda Vallarta Jr. is
1750674412 which was assigned by NPPES on 26 May, 2011 and it was last updated on 25 Sep, 2014.
Dr. Ruperto Castaneda Vallarta Jr. license number is
MD166206 for Pediatrics (208000000X) in Oregon.
Dr. Ruperto Castaneda Vallarta Jr. is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Ruperto Castaneda Vallarta Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Ruperto Castaneda Vallarta Jr. |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Ruperto Castaneda Vallarta Jr. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 211 Nw Larch Ave
Redmond, OR, 97756-1357
United States |
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| Phone Number : | 541-548-2164 |
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| Fax Number : | 541-548-0534 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1750674412 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 May, 2011 |
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| Last Updated On : | 25 Sep, 2014 |
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Medicare Participation:
Dr. Ruperto Castaneda Vallarta Jr. participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 6204005127 |
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| Medicare Enrollment ID : | I20190424001224 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2003 |
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| Accepts Medicare? | Yes. Dr. Ruperto Castaneda Vallarta Jr. accepts medicare insurance. |
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Group Practice Association:
Dr. Ruperto Castaneda Vallarta Jr. is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Ruperto Castaneda Vallarta Jr. is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Privia Care Center Llc | 3274801139 | 179 | 4910 Massachusetts Ave Nw
Suite 114 Grady Dc Office
Washington, DC - 200164384
Ph: 2026860813 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ruperto Castaneda Vallarta Jr. are as mentioned. Primary taxonomy code for Dr. Ruperto Castaneda Vallarta Jr., M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | MD166206 | OR |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Ruperto Castaneda Vallarta Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 003642900 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 5579
Bend, OR, 97708-5579
United States |
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| Phone Number : | 541-548-2164 |
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| Fax Number : | 541-548-0534 |
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Business Location:
Patients can refer following map for directions to
Dr. Ruperto Castaneda Vallarta Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.