CMS-1500 Box 24J / 33a • NPI
1649986803
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
390200000X
Licensed & Credentialed Student in an Organized Health Care Education/Training Program
Box 32 Service Location & ZIP+4
15345 BONANZA RD, VICTORVILLE, CA, 92392-2499
✓ 9-Digit EDI 837 ZIP+4 (92392-2499)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1649986803 (DESIREE CASTANEDA ANGULO) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1649986803 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | DESIREE CASTANEDA ANGULO |
| Plain-English Specialty | Licensed & Credentialed Student in an Organized Health Care Education/Training Program NUCC Code: 390200000X (Student in an Organized Health Care Education/Training Program) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 15345 BONANZA RD, VICTORVILLE, CA, 92392-2499 |
| Practice Telephone / Fax | Tel: (909) 387-7380 |
| Administrative Mailing Address | 15175 LAKE ST, ADELANTO, CA, 92301-4818 |
| Enumeration & Last Sync | Enumerated: 2023-01-30 | CMS Record Updated: 2026-07-14 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (390200000X)
What Does Taxonomy Code 390200000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 390200000X translates to:
"Licensed & Credentialed Student in an Organized Health Care Education/Training Program"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (DESIREE CASTANEDA ANGULO)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
101Y00000X — CounselorPlain English: Licensed & Credentialed Counselor | State: N/A | License: Verified | Primary: Secondary |
101YM0800X — Counselor, Mental HealthPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor | State: N/A | License: Verified | Primary: Secondary |
171M00000X — Case Manager/Care CoordinatorPlain English: Licensed & Credentialed Case Manager/Care Coordinator | State: N/A | License: Verified | Primary: Secondary |
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: CA | License: Verified | Primary: Yes (Primary) |
225400000X — Rehabilitation PractitionerPlain English: Licensed & Credentialed Rehabilitation Practitioner | State: N/A | License: Verified | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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