Individual provider Active NPI

Marie Josephine Caserio, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Santa Fe Springs, CA
National Provider Identifier
1265565725
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA11896 Issued in CA
Practice address
13440 Imperial Hwy
Santa Fe Springs, CA 90670-4820
Phone
(562) 926-3440
Fax
(562) 926-0678
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA11896 CA Primary

Addresses

Primary practice location

13440 Imperial Hwy
Santa Fe Springs, CA 90670-4820

Mailing address

1360 Park Newport
Newport Beach, CA 92660-5035
Phone (949) 640-2693

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA11896CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthfirst Medical Group of Santa Fe Springs Past Accepting new patients
Agile Occupational Medicine, PC PastSince Aug 3, 2025 Accepting new patients

Organizations & group practices 2

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265565725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 PARK NEWPORT",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605035",
            "telephone_number": "949-640-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13440 IMPERIAL HWY",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906704820",
            "telephone_number": "562-926-3440",
            "fax_number": "562-926-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASERIO",
        "first_name": "MARIE",
        "middle_name": "JOSEPHINE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA11896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.