Organization Active NPI

Serge Kaska, M.D., Inc.

  • Orthopaedic Surgery Physician
  • San Marcos, CA
National Provider Identifier
1396863973
Registry record updated Feb 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A73685 Issued in CA
Legal business name
SERGE KASKA, M.D., INC.
Practice address
277 Rancheros Dr.
Suite 101
San Marcos, CA 92069
Phone
(760) 750-1902
Fax
(760) 750-1906
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2016

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

Authorized official

Name
Serge Charles Kaska, M.D.NPI 1184661506
Title
President / Physician
Phone
(760) 750-1902

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X A73685 CA Primary

Addresses

Primary practice location

277 Rancheros Dr.
Suite 101
San Marcos, CA 92069

Mailing address

277 Rancheros Dr.
Suite 101
San Marcos, CA 92069
Phone (760) 750-1902

Other identifiers 2

IdentifierTypeStateIssuer
00A736850MedicaidCA
A73685OtherCAMEDICAL LICENSE

Other names 1

  • Kaska Orthopaedics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070410000360 CA Part B Supplier - Clinic/Group Practice 7810092434 Receives reassigned benefits from 2 practitioners
Practice locations: Encinitas, CA; San Marcos, CA
O20140728002121 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 7810092434 Practice locations: San Marcos, CA

National Provider Directory

National Provider Directory

Locations

802 N Coast Hwy
Encinitas, CA 92024
Phone (760) 230-1888

488 E Valley Pkwy
Ste 214
Escondido, CA 92025
Phone (760) 432-6311

277 Rancheros Dr
#101
San Marcos, CA 92069
Phone (750) 760-1902

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455408000000",
    "number": "1396863973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 RANCHEROS DR.",
            "address_2": "SUITE 101",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "92069",
            "telephone_number": "760-750-1902",
            "fax_number": "760-750-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 RANCHEROS DR.",
            "address_2": "SUITE 101",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "92069",
            "telephone_number": "760-750-1902",
            "fax_number": "760-750-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGE KASKA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2016-02-14",
        "status": "A",
        "authorized_official_last_name": "KASKA",
        "authorized_official_first_name": "SERGE",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT / PHYSICIAN",
        "authorized_official_telephone_number": "760-750-1902",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A73685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A736850",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A73685",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kaska Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.