Individual provider Active NPI

Paul Finn Cassedy, M.D.

  • Internal Medicine Physician
  • Laguna Hills, CA
National Provider Identifier
1417159948
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A061357 Issued in CA
Practice address
25226 Cabot Rd
Laguna Hills, CA 92653-5504
Phone
(949) 707-0005
Fax
(949) 707-5371
NPI assigned
Jun 5, 2007
Last updated
Aug 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A061357 CA Primary

Addresses

Primary practice location

25226 Cabot Rd
Laguna Hills, CA 92653-5504

Mailing address

25226 Cabot Rd
Laguna Hills, CA 92653-5504
Phone (949) 707-0005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120816000010 CA Practitioner - Internal Medicine 7012941073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ponce School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

25226 Cabot Rd
Laguna Hills, CA 92653-5504
Phone (949) 707-0005

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61357CAMDGeneral Practice Dentistry
A061357CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Comprehensive Care Medical Center Inc Internal Medicine CurrentSince May 1, 2001 Accepting new patients

Locations

25226 Cabot Rd
Laguna Hills, CA 92653
Phone (949) 707-0005

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282176000000",
    "number": "1417159948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25226 CABOT RD",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535504",
            "telephone_number": "949-707-0005",
            "fax_number": "949-707-5371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25226 CABOT RD",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535504",
            "telephone_number": "949-707-0005",
            "fax_number": "949-707-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSEDY",
        "first_name": "PAUL",
        "middle_name": "FINN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-05",
        "last_updated": "2010-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A061357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.