Organization Active NPI

Cas Professional Services

  • Surgery Physician
  • Yucaipa, CA
National Provider Identifier
1154612083
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CAS PROFESSIONAL SERVICES
Practice address
35067 Yucaipa Blvd
Yucaipa, CA 92399-4336
Phone
(909) 717-0521
Fax
(951) 688-8068
NPI assigned
Apr 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Yvonne M Lopez
Title
Manager
Phone
(951) 710-1030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

35067 Yucaipa Blvd
Yucaipa, CA 92399-4336

Mailing address

PO Box 20484
Riverside, CA 92516-0484
Phone (909) 717-0521

National Provider Directory

National Provider Directory

Locations

35067 Yucaipa Blvd
Yucaipa, CA 92399
Phone (909) 717-0521

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1154612083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20484",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925160484",
            "telephone_number": "909-717-0521",
            "fax_number": "951-688-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35067 YUCAIPA BLVD",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923994336",
            "telephone_number": "909-717-0521",
            "fax_number": "951-688-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAS PROFESSIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "951-710-1030"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.