PATRICK CASAO JR. (NPI# 1124479415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124479415 |
| Entity Type | Individual |
| Full Name | PATRICK CASAO JR. |
| Practice Address |
1520 S Escondido Blvd Escondido CA 92025-6017 |
| Mailing Address |
9808 Venice Blvd Ste 700 Culver City CA 90232-2732 |
| Practice Telephone | 7607461146 |
| Practice Fax Number | 7607967758 |
| Mailing Telephone | 3109453350 |
| Mailing Fax Number | 3108407023 |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | TAXONOMY CODE | 251S00000X | 01 |
| CA | NPI | 1114171642 | 01 |
| Street Address |
1520 S ESCONDIDO BLVD |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92025-6017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417143207 | Micheal Weuste | Social Worker | 1520 S Escondido Blvd, Escondido, CA 92025-6017 | 2007-09-14 |
| 1235600545 | Exodus Recovery, Inc. | Community/Behavioral Health | 1520 S Escondido Blvd, Escondido, CA 92025-6017 | 2018-12-12 |
| 1841615085 | Jenna Farnsworth | Social Worker | 1520 S Escondido Blvd, Escondido, CA 92025-6017 | 2014-02-25 |
| 1114171642 | Exodus Recovery Inc | Community/Behavioral Health | 1520 S Escondido Blvd, Escondido, CA 92025-6017 | 2008-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001230 | Tanya Geanna Macleod | Peer Specialist | 474 West Vermont Ave., Ste., 101, Escondido, CA 92025 | 2020-10-19 |
| 1801449640 | Jennifer Marsh | Marriage & Family Therapist | 403 N Escondido Blvd #533, Escondido, CA 92025 | 2019-07-21 |
| 1093281644 | Lucy Breen | Peer Specialist | 474 Weest Vermont Ave #104, Escondido, CA 92025 | 2018-10-22 |
| 1457834665 | Daniel & Max | Optometrist | 730 N Center City Parkway, Building A-1, Suite 101, Escondido, CA 92025 | 2018-09-13 |
| 1477033272 | Hyoshin Kwak | Acupuncturist | 106 S. Grape St, Suite 10, Escondido, CA 92025 | 2018-08-21 |
| 1467948877 | Irma P Garcia | Counselor | 337 West Mission Ave, Escondido, CA 92025 | 2018-07-09 |
| 1295235380 | Anna M. Rainville | Marriage & Family Therapist | 11701 San Pasqual Valley Rd, Escondido, CA 92025 | 2018-02-15 |
| 1689187049 | Monica Pino | Occupational Therapist | 469 E Grand Avenue, Escondido, CA 92025 | 2017-11-08 |
| 1427569581 | Mtk Primary Care Medical Group | Specialist | 1835a S Centre City Pkwy Ste 459, Escondido, CA 92025 | 2017-10-17 |
| 1619490349 | Elizabeth Sanchez Arvizu | Student in an Organized Health Care Education/Training Program | 490 N. Grape Stret, Escondido, CA 92025 | 2017-07-25 |
| Find all providers in zip 92025 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184237703 | Megan Harrison | Counselor | 474 W Vermont Ave Ste 102, Escondido, CA 92025-6584 | 2020-08-24 |
| 1871112888 | Jessica Rose Marthaller | Counselor | 105 N Rose St Ste 211, Escondido, CA 92027-3109 | 2020-04-09 |
| 1578041083 | Lisa Newberry | Counselor | 504 W Mission Ave Ste 106, Escondido, CA 92025-1603 | 2018-08-06 |
| 1811491772 | Marlene Isabel Armenta | Counselor | 625 Citracado Pkwy Ste 101, Escondido, CA 92025-6428 | 2018-03-23 |
| 1912429838 | April Nowlin Sarani | Counselor | 474 W Vermont Ave., Suite 104, Escondido, CA 92025 | 2017-07-12 |
| 1457802084 | Angela Hernandez Huffman | Counselor | 17701 San Pasqual Valley Rd., Escondido, CA 92025-4644 | 2016-10-19 |
| 1841686763 | Isabel Moreno | Counselor | 2727 Malibu Pl, Escondido, CA 92027-1868 | 2015-04-07 |
| 1982944609 | Debra Marie Sandgren | Counselor | 135 E 3rd Ave Ste B, Escondido, CA 92025-4252 | 2013-02-15 |
| 1669741815 | Leanne Dignam | Counselor | 1010 Hawaii Pl, Escondido, CA 92026-1138 | 2011-12-16 |
| 1659648046 | Francine Renee Yates | Counselor | 490 North Grape St, Escondido, CA 92025 | 2011-11-29 |
| Find all providers in ESCONDIDO | ||||
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| 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.