Esiquio Gustavo Casillas, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A79912 Issued in CA

Practice address

5700 Canoga Ave
Suite 500
Woodland Hills, CA 91367-6579

Phone

(818) 595-8100

Fax

(818) 595-8206

NPI assigned

Jul 13, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Regal Medical Group, Inc.

  • Internal Medicine Physician
  • West Hills, CA
  • NPI 1588748073

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1134144728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 CANOGA AVE",
            "address_2": "SUITE 500",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676579",
            "telephone_number": "818-595-8100",
            "fax_number": "818-595-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 CANOGA AVE",
            "address_2": "SUITE 500",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676579",
            "telephone_number": "818-595-8100",
            "fax_number": "818-595-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASILLAS",
        "first_name": "ESIQUIO",
        "middle_name": "GUSTAVO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A79912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elsie Marie Casanova, PHARMD
• Citlali Casasanero
• Kynadee Paige Casey
• Kevin Alexander Cash, BEHAVIOR THERAPIST
• Andrew James Cashman
• Caspian Care Solutions Inc (Caspian Pharmacy)
• Caspian Care Solutions Inc (Caspian Pharmacy)
• Caspian Medical Supply Health Care
• April Casseus
• Maria Paula Castaneda Rivas

• Family Medicine Physician in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.