Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ruperto Castaneda Vallarta Jr., MD

Individual provider Pediatrics Physician · NPI 1750674412

Dr. Ruperto Castaneda Vallarta Jr., MD is a Pediatric Medicine in Lewistown, Pennsylvania. Qualified in 2003, 23 years ago. Licensed in Pennsylvania.

Years since qualifying
23
Licensed in
PA
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

400 Highland Ave
Lewistown, PA 17044-1167
Phone: (717) 242-4254
Fax: (717) 242-4234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD494859 (PA)

Record details

NPI number1750674412
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 26, 2011
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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