Active NPI
Briseida Casta, MD
- Pediatrics Physician
- Weston, FL
National Provider Identifier
1376531566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME74512
- Practice address
- 2731 Executive Park Dr
Suite 3
Weston, FL 33331-3657 - Phone
- (954) 389-1064
- Fax
- (954) 389-3541
- NPI assigned
- Oct 11, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME74512 | FL | Primary |
Addresses
Primary practice location
2731 Executive Park Dr
Suite 3
Weston, FL 33331-3657
Mailing address
2731 Executive Park Dr
Suite 3
Weston, FL 33331-3657
Phone (954) 389-1064
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 255595600 | Medicaid | FL |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME74512 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Briseida Casta MD P.a | Pediatrics | Past | Accepting new patients |
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.
-
- Pediatrics Physician
- Weston, FL
- NPI 1447657051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339545600000",
"number": "1376531566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2731 EXECUTIVE PARK DR",
"address_2": "SUITE 3",
"city": "WESTON",
"state": "FL",
"postal_code": "333313657",
"telephone_number": "954-389-1064",
"fax_number": "954-389-3541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2731 EXECUTIVE PARK DR",
"address_2": "SUITE 3",
"city": "WESTON",
"state": "FL",
"postal_code": "333313657",
"telephone_number": "954-389-1064",
"fax_number": "954-389-3541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTA",
"first_name": "BRISEIDA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-11",
"last_updated": "2012-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME74512",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "255595600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.