Active NPI
Nasir Kasim, MLS
- Medical Technologist
- Mather, CA
National Provider Identifier
1396115333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Technologist
- License
- 229309
- Practice address
- 10535 Hospital Way
Mather, CA 95655-4200 - Phone
- (916) 843-7000
- NPI assigned
- Oct 2, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | 229309 | CA | Primary |
| Pathology Technician | 246R00000X | 64951 | CA |
Addresses
Primary practice location
10535 Hospital Way
Mather, CA 95655-4200
Mailing address
10535 Hospital Way
Mather, CA 95655-4200
Phone (916) 843-7000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 64951 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 229309 | CA | MD | Medical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443744000000",
"number": "1396115333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10535 HOSPITAL WAY",
"city": "MATHER",
"state": "CA",
"postal_code": "956554200",
"telephone_number": "916-843-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10535 HOSPITAL WAY",
"city": "MATHER",
"state": "CA",
"postal_code": "956554200",
"telephone_number": "916-843-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASIM",
"first_name": "NASIR",
"credential": "MLS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-02",
"last_updated": "2015-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": "CA",
"license": "229309",
"primary": true
},
{
"code": "246R00000X",
"taxonomy_group": "",
"desc": "Technician, Pathology",
"state": "CA",
"license": "64951",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mather, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.