CASEY MCCOLLUM


Address: 1902 Royalty Dr, Suite 130, Pomona, CA 91767-3030
Phone: 9098655777

CASEY MCCOLLUM (NPI# 1083963664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083963664
Entity Type Individual
Full Name CASEY MCCOLLUM
Credential PA-C
Practice Address 1902 Royalty Dr
Suite 130
Pomona
CA 91767-3030
Practice Telephone 9098655777
Practice Fax Number 9098655781
Mailing Telephone 9098655777
Enumeration Date 2012-08-29
Last Update Date 2014-01-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA22463 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers CASEY MCCOLLUM

NPI Name Taxonomy Address Enumeration
1578703120 Casey Mccollum Social Worker 2477 Woodland Rd, Bryn Athyn, PA 19009 2009-02-23
1770011553 Casey Mccollum Physical Therapist 1002 E Blanco Rd Ste B, Boerne, TX 78006-1802 2017-05-24

Office Location

Street Address 1902 ROYALTY DR
SUITE 130
City POMONA
State CA
Zip Code 91767-3030

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629073804 Samuel Salen Radiology 1902 Royalty Dr, Ste 220, Pomona, CA 91767-3056 2005-06-15
1447721972 Sarina Karwande Physical Medicine & Rehabilitation 1902 Royalty Dr, Pomona, CA 91767-3030 2018-12-10
1740778810 Diana Marissa Velasco Physical Therapy Assistant 1902 Royalty Dr, Pomona, CA 91767-3030 2018-04-24
1902323181 Justin Shieh Occupational Therapist 1902 Royalty Dr, Pomona, CA 91767-3030 2017-08-28
1609271501 Maria Sancho Physical Therapist 1902 Royalty Dr, Suite 170, Pomona, CA 91767-3030 2014-11-04
1144636473 Samantha Cardeno Physical Therapist 1902 Royalty Dr, Suite 170, Pomona, CA 91767-3030 2014-07-08
1861767212 Stuart L Zubrick Marriage Family and Child Counseling, A Prof Corp Non-Pharmacy Dispensing Site 1902 Royalty Dr, Ste 290, Pomona, CA 91767-3030 2012-03-19
1063797835 Rochelle Rose Gunnarsson Physical Therapist 1902 Royalty Dr, Suite 220, Pomona, CA 91767-3030 2011-10-12
1245511633 Arj Medical Inc. Non-Pharmacy Dispensing Site 1902 Royalty Dr, Suite 120, Pomona, CA 91767-3030 2011-08-30
1275811085 United Therapy Network Incorporated Occupational Therapist 1902 Royalty Dr, Suite 220, Pomona, CA 91767-3030 2011-07-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942807979 Ayed Hawatmeh Dds Inc Dentist 322 E Foothill Blvd, Pomona, CA 91767 2020-10-02
1780205302 Melanie Crystal Ramirez Counselor 845 East Arrow Hwy, Pomona, CA 91767 2020-05-05
1780249029 Jean Hang Pharmacist 775 East Foothill Blvd, Pomona, CA 91767 2019-05-02
1679043269 Christy Bloss Counselor 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 2018-11-27
1740758895 Pomona Community Health Center Dentist 1448 E Holt Avenue, Pomona, CA 91767 2018-11-07
1245749878 Continental Post Acute LLC Skilled Nursing Facility 1912 N.san Antonio, Pomona, CA 91767 2017-09-26
1083134373 Virginia Thompson Counselor 845 E. Arrow Hwy., Pomona, CA 91767 2017-06-27
1215489000 Boys Republic - Pomona Residence Community/Behavioral Health 733 N Garey Ave, Pomona, CA 91767 2016-10-27
1164870499 Karthikeyan Bhuvaneswaran Psychiatry & Neurology 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 2016-05-26
1679936777 Nex's Traditional Chinese Medicine Acupuncturist 1150 N Garey Ave, Pomona, CA 91767 2016-04-05
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760033278 Kandin Maraquin Physician Assistant 1415 Ledgestone Ln, Pomona, CA 91767-3566 2019-09-25
1285123653 Catherine Yaw Physician Assistant 450 E 2nd St, Pomona, CA 91766-1950 2018-05-01
1174052898 Daniel Paul Bunker Physician Assistant 2410 N Towne Ave Unit 57, Pomona, CA 91767-2449 2017-06-06
1982074548 Kathryn Taraneh Johnson Physician Assistant 1532 E. San Bernardino Ave, Suite A2, Pomona, CA 91762-4913 2015-09-25
1770982209 Susan Kazumi Sasaki Pickard Physician Assistant 260 E. Holt Ave, Pomona, CA 91767 2014-08-20
1831493113 Vida Vickers Physician Assistant 2112 S Garey Ave Ste C, Pomona, CA 91766-5600 2010-12-31
1124337241 Aracely Perales Physician Assistant 716 E. Mission Blvd, Suite D, Pomona, CA 91766 2010-10-07
1235372145 Jane Ellen Rodgers Physician Assistant 790 E Bonita Ave Fl 2, Pomona, CA 91767-1906 2009-04-08
1275784852 Reynaldo C Obrero Physician Assistant 502 S Garey Ave, Pomona, CA 91766-3319 2008-10-01
1487812293 Avigayl Gordon Physician Assistant 3 Beaver Dam Rd, Pomona, NY 10970-3202 2008-05-29
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Competitor

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City POMONA
Zip Code 91767

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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