Individual provider Active NPI

Angelica Santos Casuga, BUSINESS OWNER

  • Non-emergency Medical Transport (VAN)
  • Castro Valley, CA
National Provider Identifier
1104491562
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
136928 Issued in CA
Practice address
3612 Jamison Way Apt 4
Castro Valley, CA 94546-4339
Phone
(510) 605-0058
NPI assigned
May 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 136928 CA Primary

Addresses

Primary practice location

3612 Jamison Way Apt 4
Castro Valley, CA 94546-4339

Mailing address

3612 Jamison Way Apt 4
Castro Valley, CA 94546-4339
Phone (510) 605-0058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
136928CAMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1104491562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 JAMISON WAY APT 4",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464339",
            "telephone_number": "510-605-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 JAMISON WAY APT 4",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464339",
            "telephone_number": "510-605-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASUGA",
        "first_name": "ANGELICA",
        "middle_name": "SANTOS",
        "credential": "BUSINESS OWNER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "136928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.