Individual provider Active NPI

Casey Carol Retiro Fulinara, PA

  • Physician Assistant
  • La Jolla, CA
National Provider Identifier
1063010841
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
9850 Genesee Ave Ste 870
La Jolla, CA 92037-1233
Phone
(858) 452-7040
NPI assigned
Oct 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

9850 Genesee Ave Ste 870
La Jolla, CA 92037-1233

Mailing address

9850 Genesee Ave Ste 870
La Jolla, CA 92037-1233
Phone (858) 452-7040

Other names 1

  • Casey Fulinara Other name

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
I20210809001509 CA Practitioner - Physician Assistant 5799189056 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
58977CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cfulinara169677@ehr.johnmuirhealth.com
  • Direct secure messaging: casey.carol.fulinara.1@8563.direct.athenahealth.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1063010841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 870",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371233",
            "telephone_number": "858-452-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 870",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371233",
            "telephone_number": "858-452-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULINARA",
        "first_name": "CASEY CAROL",
        "middle_name": "RETIRO",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "FULINARA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.