Individual provider Active NPI

Clarisse Casilang, M.D.

  • Pediatrics Physician
  • Orange, CA
National Provider Identifier
1093133407
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
144955 Issued in CA
Practice address
810 W Collins Ave
Orange, CA 92867-5516
Phone
(714) 509-7571
NPI assigned
Apr 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD461711 PA
Pediatrics Physician 208000000X 144955 CA Primary

Addresses

Primary practice location

810 W Collins Ave
Orange, CA 92867-5516

Mailing address

810 W Collins Ave
Orange, CA 92867-5516
Phone (714) 509-7571

Other practice location 1

155 N Fresno St
Fresno, CA 93701-2302
Phone (599) 499-6400 ext. 6521

Other practice location 2

3401 Civic Center Blvd
Department of International Medicine
Philadelphia, PA 19104
Phone (267) 426-1811

Other practice location 3

12400 Bloomfield Ave
Santa Fe Springs, CA 90670-4750
Phone (562) 967-2830 ext. 62160

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210520000413 CA Practitioner - Pediatric Medicine 7012316219 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
144955CAMDPediatrics Physician
MD461711PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marque Medical Clinic, Inc CurrentSince Mar 15, 2021 Accepting new patients
Marque Medical Clinic, Inc. CurrentSince Mar 15, 2021 Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients

Locations

21770 LK FRST Dr
Ste 109
Lake Forest, CA 92630
Phone (877) 693-6266

2075 San Joaquin Hills Rd
Newport Beach, CA 92660
Phone (877) 693-6266

10391 Magnolia Ave
Riverside, CA 92505

4490 Fanuel St
Ste 100
San Diego, CA 92109

Organizations & group practices 3

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": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1093133407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 W COLLINS AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675516",
            "telephone_number": "714-509-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W COLLINS AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675516",
            "telephone_number": "714-509-7571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 N Fresno St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937012302",
            "country_code": "US",
            "telephone_number": "599-499-6400 x6521",
            "fax_number": "599-499-6521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 Civic Center Blvd",
            "address_2": "Department of International Medicine",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19104",
            "country_code": "US",
            "telephone_number": "267-426-1811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12400 Bloomfield Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Fe Springs",
            "state": "CA",
            "postal_code": "906704750",
            "country_code": "US",
            "telephone_number": "562-967-2830 x62160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASILANG",
        "first_name": "CLARISSE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD461711",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "144955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.