Individual provider Active NPI

Clayton K Casey, MD

  • Family Medicine Physician
  • Modesto, CA
National Provider Identifier
1215477955
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A160928 Issued in CA
Practice address
1501 Oakdale Rd Ste 301
Modesto, CA 95355-3382
Phone
(209) 622-0936
Fax
(209) 622-0863
NPI assigned
Feb 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A160928 CA
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X A160928 CA Primary

Addresses

Primary practice location

1501 Oakdale Rd Ste 301
Modesto, CA 95355-3382

Mailing address

1501 Oakdale Rd Ste 301
Modesto, CA 95355-3382
Phone (209) 622-0936

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A160928CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clayton K Casey MD Inc a Professional Medical Corporation Family Medicine CurrentSince Nov 1, 2021 Accepting new patients

Locations

1501 Oakdale Rd
Ste 301
Modesto, CA 95355
Phone (209) 571-5071

1600 Sunrise Ave
Modesto, CA 95350
Phone (209) 602-5158

609 E Orangeburg Ave
Ste 201
Modesto, CA 95350
Phone (209) 572-3224

220 Standiford Ave
Ste F
Modesto, CA 95350
Phone (209) 589-1500

Interoperability endpoints

  • Direct secure messaging: clayton.casey@4026.securemail.prognocis.com

Organizations & group practices 1

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": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1215477955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 OAKDALE RD STE 301",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553382",
            "telephone_number": "209-622-0936",
            "fax_number": "209-622-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 OAKDALE RD STE 301",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553382",
            "telephone_number": "209-622-0936",
            "fax_number": "209-622-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "CLAYTON",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-28",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A160928",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A160928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.