Active NPI
Vincent Martin Caserio, PA-C
- Physician Assistant
- Calabasas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA55670
- Practice address
- 26585 Agoura Rd Ste 320
Calabasas, CA 91302-1958 - Phone
- (310) 319-3475
- NPI assigned
- Jun 12, 2018
- Last updated
- Dec 2, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | |||
| Surgical Physician Assistant | 363AS0400X | PA5670 | CA | |
| Physician Assistant | 363A00000X | PA55670 | CA | Primary |
Addresses
Primary practice location
26585 Agoura Rd Ste 320
Calabasas, CA 91302-1958
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
1414 S Grand Ave Ste 380
Los Angeles, CA 90015
Phone (213) 222-1300
Other practice location 2
11550 Indian Hills Rd Ste 261
Mission Hills, CA 91345-1244
Phone (818) 361-0917
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA55670 | Other | CA | STATE LICENSE |
| 1152011 | Other | NCCPA |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Southern California Keck School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
26585 Agoura Rd
Calabasas, CA 91302-1958
300 Medical PLZ
Los Angeles, CA 90095-0001
Phone (310) 825-5111
7300 Medical Ctr Dr
West Hills, CA 91307-1902
Phone (818) 676-4000
757 Westwood PLZ
Los Angeles, CA 90095-8358
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA55670 | CA | MD | Physician Assistant |
| PA5670 | CA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Institute | Current | Accepting new patients | |
| The Regents of the University of California | Current | Accepting new patients | |
| UCLA Medical Group | Past | Accepting new patients |
Locations
191 S Buena Vista St
Ste 470
Burbank, CA 91505
Phone (818) 848-3030
26585 Agoura Rd
Ste 320
Calabasas, CA 91302
Phone (310) 999-9999
26585 Agoura Rd
Ste 330
Calabasas, CA 91302
Phone (818) 461-3321
15503 Ventura Blvd
Ste 240
Encino, CA 91436
Phone (310) 825-7163
24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448
File 54206
Los Angeles, CA 90074
11550 Indian Hls
Ste 261
Mission Hills, CA 91345
Phone (818) 361-0917
100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- vcaserio1284371@direct.uclahealth.org
Organizations & group practices 6
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.
-
dba UCLA Neurosurgery Associates
- Neurological Surgery Physician
- Los Angeles, CA
- NPI 1538125844
-
- Critical Care Medicine (Internal Medicine) Physician
- Los Angeles, CA
- NPI 1396268041
-
- Specialist
- Burbank, CA
- NPI 1942690136
-
dba Providence Little Company of Mary Medical Institute
- Family Medicine Physician
- Torrance, CA
- NPI 1417915760
-
dba Providence Little Company of Mary Medical Institute
- Family Medicine Physician
- Torrance, CA
- NPI 1235182569
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1043427248
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UCLA West Valley Medical Center
- General Acute Care Hospital
- West Hills, CA
- NPI 1801653969
-
- General Acute Care Hospital
- Solvang, CA
- NPI 1952301863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1417440603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26585 AGOURA RD STE 320",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913021958",
"telephone_number": "310-319-3475"
}
],
"practiceLocations": [
{
"address_1": "1414 S Grand Ave Ste 380",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "90015",
"country_code": "US",
"telephone_number": "213-222-1300",
"fax_number": "213-222-1333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11550 Indian Hills Rd Ste 261",
"address_purpose": "LOCATION",
"city": "Mission Hills",
"state": "CA",
"postal_code": "913451244",
"country_code": "US",
"telephone_number": "818-361-0917",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASERIO",
"first_name": "VINCENT",
"middle_name": "MARTIN",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-12",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA5670",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA55670",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PA55670",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA",
"identifier": "1152011",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Calabasas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.