CARLEY CASSITY


Address: 1611 S Catalina Ave Ste L70, Redondo Beach, CA 90277-5296
Phone: 3103161954

CARLEY CASSITY (NPI# 1588162556) 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) 1588162556
Entity Type Individual
Full Name CARLEY CASSITY
Credential NP
Practice Address 1611 S Catalina Ave Ste L70
Redondo Beach
CA 90277-5296
Mailing Address 2517 Vanderbilt Ln Unit A
Redondo Beach
CA 90278-3215
Practice Telephone 3103161954
Mailing Telephone 3104283054
Enumeration Date 2018-01-25
Last Update Date 2018-06-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WG0000X Registered Nurse
Specialization: General Practice
95026507 CA Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA RN LICENSE CALIFORNIA 95026507 01
CA FNP CERTIFICATION F01180305 01
KY RN LICENSE KY 1132042 01

Office Location

Street Address 1611 S CATALINA AVE STE L70
City REDONDO BEACH
State CA
Zip Code 90277-5296

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790225829 Spade Skin Care Medical Inc Dermatology 1611 S Catalina Ave Ste L70, Redondo Beach, CA 90277-5296 2017-03-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780215103 Robert John Coffman Psychologist 316b North Pacific Coast Hwy., Redondo Beach, CA 90277 2020-02-04
1952949786 Anne E Pitts Dietitian, Registered 360 The Village Drive Unit 207, Redondo Beach, CA 90277 2019-12-11
1558916841 Dana Bryon Staub Social Worker 205 Ave. I, Suite 17, Redondo Beach, CA 90277 2019-08-05
1376033860 Lisa Ann Graziano Marriage & Family Therapist 514 N. Prospect Avenue, Suite 111 Lower Level, Redondo Beach, CA 90277 2018-05-10
1275981326 Carla Marie Vasquez Marriage & Family Therapist 901 N. Pacific Coast Highway, 200a, Redondo Beach, CA 90277 2016-05-31
1154793628 Marianne M. Cuttic, Dpm, Inc Podiatrist 1970 S Prospect Avenue, Suite 4, Redondo Beach, CA 90277 2015-10-23
1841682994 Mary Schopfel Counselor 901 Pacific Coast Highway, 200a, Redondo Beach, CA 90277 2015-02-26
1700287141 Rose Ross Marriage & Family Therapist 901 North Pacific Coast Highway, Suite 200a, Redondo Beach, CA 90277 2014-09-04
1912307661 Gale Hazeltine Physical Therapist 409 N PCh Hwy # 308, Redondo Beach, CA 90277 2014-08-31
1194135889 Physical Therapy Concierge Service Inc Clinic/Center 704 N. Irena, B, Redondo Beach, CA 90277 2014-05-02
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Taxonomy Information

Taxonomy Code 163WG0000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization General Practice

Taxonomy Definition

Definition to come...

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1457976938 Jerrick Ky Xang Padilla-phu Registered Nurse 1510 S Central Ave Ste 240, Glendale, CA 91204-2570 2020-06-10
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Competitor

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City REDONDO BEACH
Zip Code 90277

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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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