Individual provider Active NPI

Ann M Casco, L.AC.

  • General Practice Physician
  • San Diego, CA
National Provider Identifier
1275691669
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
AC 8847 Issued in CA
Practice address
16885 W Bernardo Dr
Suite 380a
San Diego, CA 92127-1618
Phone
(619) 206-9679
Fax
(858) 638-7769
NPI assigned
Dec 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
General Practice Physician 208D00000X AC 8847 CA Primary

Addresses

Primary practice location

16885 W Bernardo Dr
Suite 380a
San Diego, CA 92127-1618

Mailing address

2823 Curie PL
San Diego, CA 92122-4109
Phone (619) 206-9679

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC 8847CAMDGeneral Practice Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275691669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 CURIE PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921224109",
            "telephone_number": "619-206-9679",
            "fax_number": "858-638-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16885 W BERNARDO DR",
            "address_2": "SUITE 380A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271618",
            "telephone_number": "619-206-9679",
            "fax_number": "858-638-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASCO",
        "first_name": "ANN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "AC 8847",
            "primary": true
        }
    ],
    "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 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.