Provider Demographics
NPI:1356423669
Name:CASTANARES, ARACELI BARUIZ (MD)
Entity type:Individual
Prefix:
First Name:ARACELI
Middle Name:BARUIZ
Last Name:CASTANARES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 W COLUMBUS ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-1263
Mailing Address - Country:US
Mailing Address - Phone:661-328-7070
Mailing Address - Fax:661-328-8807
Practice Address - Street 1:507 W COLUMBUS ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1263
Practice Address - Country:US
Practice Address - Phone:661-328-7070
Practice Address - Fax:661-328-8807
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA53492207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A534920Medicaid
CA110190540OtherRAILROAD MEDICARE
CA00A534920OtherBLUE SHIELD
CA1939557OtherFIRST HEALTH
CAA53492OtherBLUE CROSS
CAK7G248OtherBLUE CROSS MEDICAL
CA1939557OtherFIRST HEALTH
CA00A534920Medicaid