Active NPI
Holly Lynn Casele, MD
- Maternal & Fetal Medicine Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- G87630
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87630 | CA | MD | Pharmacist |
| 036086743 | IL | MD | Obstetrics & Gynecology Physician |
| G87630 | CA | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rady Children'S Hospital San Diego | Current | Accepting new patients | |
| Rady Children'S Hospital San Diego | Current | 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
- 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.
-
- Pediatrics Physician
- San Diego, CA
- NPI 1669617197
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Diego, CA
- NPI 1851303994
-
- Pediatrics Physician
- San Diego, CA
- NPI 1801959127
-
- Federally Qualified Health Center (FQHC)
- San Marcos, CA
- NPI 1588489975
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Obstetrics & Gynecology
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.