Individual provider Active NPI

Casey Kathleen Salgado, PA-C

  • Physician Assistant
  • Culpeper, VA
National Provider Identifier
1174087977
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110007530 Issued in VA
Practice address
1420 S Main St
Culpeper, VA 22701-3431
Phone
(540) 825-2202
NPI assigned
Jan 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA56478 CA
Physician Assistant 363A00000X 0110007530 VA Primary

Addresses

Primary practice location

1420 S Main St
Culpeper, VA 22701-3431

Mailing address

PO Box 1820
Hawthorne, CA 90251-1820

Other practice location 1

4661 W 130th St
Hawthorne, CA 90250-5146
Phone (310) 908-8402

Other practice location 2

1106 S Pacific Coast Hwy
Redondo Beach, CA 90277-4902
Phone (310) 316-1661

Other practice location 3

1106 S Pacific Coast Hwy
Redondo Beach, CA 90277-4902
Phone (310) 316-1661

Other names 1

  • Miss Casey Kathleen Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201117000804 VA Practitioner - Physician Assistant 1355673112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Urgent Care LLCGroup PAC ID 6709256142, 125 clinicians

Practice addresses (Care Compare)

1420 S Main St
Culpeper, VA 22701-3431
Phone (540) 825-2202

9851 Brook Rd
Glen Allen, VA 23059-4559
Phone (804) 893-8702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
56478CAMDMarriage & Family Therapist
PA56478CAMDPhysician Assistant
0110007530VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Virginia CurrentSince Oct 22, 2020 Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince Oct 22, 2020 Accepting new patients

Locations

1420 S Main St
Culpeper, VA 22701
Phone (540) 825-2202

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

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": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1174087977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1820",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902511820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 S MAIN ST",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013431",
            "telephone_number": "540-825-2202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4661 W 130th St",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "CA",
            "postal_code": "902505146",
            "country_code": "US",
            "telephone_number": "310-908-8402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1106 S Pacific Coast Hwy",
            "address_purpose": "LOCATION",
            "city": "Redondo Beach",
            "state": "CA",
            "postal_code": "902774902",
            "country_code": "US",
            "telephone_number": "310-316-1661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1106 S Pacific Coast Hwy",
            "address_purpose": "LOCATION",
            "city": "Redondo Beach",
            "state": "CA",
            "postal_code": "902774902",
            "country_code": "US",
            "telephone_number": "310-316-1661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALGADO",
        "first_name": "CASEY",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA56478",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "SMITH",
            "middle_name": "KATHLEEN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Culpeper, VA

Sources for this page

Verify at the official NPI Registry.