Individual provider Active NPI

Holly Lynn Casele, MD

  • Maternal & Fetal Medicine Physician
  • San Diego, CA
National Provider Identifier
1255348744
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
G87630 Issued in CA
Practice address
8010 Frost St
Suite 300
San Diego, CA 92123-2778
Phone
(858) 939-6880
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X G87630 CA Primary
Obstetrics & Gynecology Physician 207V00000X G87630 CA

Addresses

Primary practice location

8010 Frost St
Suite 300
San Diego, CA 92123-2778

Mailing address

3860 Calle Fortunada
Ste #210
San Diego, CA 92123-4802
Phone (858) 309-6303

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060206000255 CA Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 8628050994 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
87630CAMDPharmacist
036086743ILMDObstetrics & Gynecology Physician
G87630CAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rady Children'S Hospital San Diego CurrentSince Jan 4, 2010 Accepting new patients
Rady Children'S Hospital San Diego CurrentSince Jan 4, 2010 Accepting new patients
Endeavor Health Medical Group Past Accepting new patients
Children'S Specialists of San Diego, Inc. (CSSD) Past Accepting new patients
North County Health Project Inc Past Accepting new patients
Endeavor Health Medical Group Obstetrics & Gynecology Past Accepting new patients

Locations

1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780

25170 Hancock Ave
Murrieta, CA 92562
Phone (858) 757-3277

1136 D Ave
National City, CA 91950
Phone (619) 336-2300

3020 Childrens Way
San Diego, CA 92123
Phone (858) 966-5841

8010 Frost St
Ste 300
San Diego, CA 92123
Phone (858) 692-6622

3020 Childrens Way
#5112
San Diego, CA 92123

150 Valpreda Rd
San Marcos, CA 92069
Phone (619) 736-6700

4004 Beyer Blvd
San Ysidro, CA 92173
Phone (619) 428-1330

Interoperability endpoints

  • Direct secure messaging: hcasele9340@radychildrens.direct-ci.com

Organizations & group practices 6

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1255348744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 CALLE FORTUNADA",
            "address_2": "STE #210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234802",
            "telephone_number": "858-309-6303",
            "fax_number": "858-309-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 FROST ST",
            "address_2": "SUITE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232778",
            "telephone_number": "858-939-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASELE",
        "first_name": "HOLLY",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "G87630",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G87630",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.