Active NPI
Robert I McCaslin, MD
- Pediatric Emergency Medicine (Pediatrics) Physician
- Sacramento, CA
National Provider Identifier
1164472536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- G79591
- Practice address
- 4150 V St
PSSB Suite 2100
Sacramento, CA 95817-1460 - Phone
- (916) 734-8249
- Fax
- (916) 734-7950
- NPI assigned
- May 10, 2006
- Last updated
- Jul 4, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 226294 | MA | |
| Pediatrics Physician | 208000000X | G79591 | CA | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 226294 | MA | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | G79591 | CA | Primary |
Addresses
Primary practice location
4150 V St
PSSB Suite 2100
Sacramento, CA 95817-1460
Mailing address
505 Ellis Blvd Apt A5
Jefferson City, MO 65101-2291
Phone (858) 735-6943
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2110415 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150928000535 | NC | Practitioner - Pediatric Medicine | 0648203877 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79591 | CA | MD | Pharmacist |
| 226294 | MA | MD | Pediatrics Physician |
| G79591 | CA | MD | Pediatric Emergency Medicine (Pediatrics) Physician |
Interoperability endpoints
- rmccaslin250985@direct.medicine.duke.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404432000000",
"number": "1164472536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 ELLIS BLVD APT A5",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651012291",
"telephone_number": "858-735-6943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 V ST",
"address_2": "PSSB SUITE 2100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958171460",
"telephone_number": "916-734-8249",
"fax_number": "916-734-7950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCASLIN",
"first_name": "ROBERT",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2014-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "226294",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G79591",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "MA",
"license": "226294",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "CA",
"license": "G79591",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2110415",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2014; 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.