Individual provider Active NPI

Caroline Matibag Caspe, MSN, FNP-C

  • Family Nurse Practitioner
  • West Covina, CA
National Provider Identifier
1053754952
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22778 Issued in CA
Practice address
1300 S Sunset Ave
West Covina, CA 91790-3342
Phone
(626) 960-6999
Fax
(626) 960-5246
NPI assigned
Apr 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22778 CA Primary

Addresses

Primary practice location

1300 S Sunset Ave
West Covina, CA 91790-3342

Mailing address

12375 Baseline Rd
Suite 104
Rancho Cucamonga, CA 91739-5992
Phone (909) 899-6969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170215003234 CA Practitioner - Nurse Practitioner 6608099890 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

Practice addresses (Care Compare)

1365 S Grand Ave
Glendora, CA 91740-5047
Phone (626) 385-1456

215 N Allen Ave
Pasadena, CA 91106-1601
Phone (626) 817-9002

26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225

420 W Rowland St
Suite 101
Covina, CA 91723-2943
Phone (626) 412-2614

7000 Boulder Ave
Suite 103
Highland, CA 92346-3348
Phone (515) 441-6271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 11, 2017 Accepting new patients
Healthcare Partners Affiliates Medical Group Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 11, 2017 Accepting new patients
Exer Medical Corporation CurrentSince Sep 1, 2024 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Theodore Gerard a Caspe MD a Medical Corporation PastSince Oct 31, 2007 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

420 W Rowland St
Covina, CA 91723
Phone (626) 331-6411

2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355

1365 S Grand Ave
Glendora, CA 91740
Phone (626) 385-1456

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

601 Torrance Blvd
#1182
Redondo Beach, CA 90277

25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020

701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3702/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1053754952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12375 BASELINE RD",
            "address_2": "SUITE 104",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917395992",
            "telephone_number": "909-899-6969",
            "fax_number": "909-899-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S SUNSET AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903342",
            "telephone_number": "626-960-6999",
            "fax_number": "626-960-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASPE",
        "first_name": "CAROLINE",
        "middle_name": "MATIBAG",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-10",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.