Sergio Guillermo Casillas Berumen, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

C185956 Issued in CA

Practice address

1111 Broadway Ste 305
Chula Vista, CA 91911-2700

Phone

(619) 567-7007

Fax

(619) 567-7775

NPI assigned

Jun 22, 2010

Last updated

Mar 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

General Surgery

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sasha Salloum MD Inc a Professional Medical CorporationGroup PAC ID 5991012130, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Scripps Mercy Hospital Hospital, San Diego, CA, CCN 050077

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Cost

78.64

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: scasil02@yourcarecommunity.org

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.

• Sasha Salloum MD Inc a Professional Medical Corporation

  dba SS Vascular

  • Vascular Surgery Physician
  • Chula Vista, CA
  • NPI 1578949889
  Medicare reassignment Care Compare group NPD
• Palomar Health

  dba Palomar Medical Center Escondido

  • General Acute Care Hospital
  • Escondido, CA
  • NPI 1457321317
  NPD (past)
• Vascular Associates of San Diego

  • Vascular Surgery Physician
  • La Mesa, CA
  • NPI 1104975713
  NPD (past)
• Marion Hospital Corporation

  dba Heartland Regional Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Marion, IL
  • NPI 1750352746
  NPD (past)

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

• Scripps Health

  dba Scripps Mercy Hospital

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1659359446
  Care Compare affiliation

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1437470762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 E PENNSYLVANIA AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254616",
            "telephone_number": "760-884-4500",
            "fax_number": "619-567-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 BROADWAY STE 305",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112700",
            "telephone_number": "619-567-7007",
            "fax_number": "619-567-7775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6719 Alvarado Rd Ste 303",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921205264",
            "country_code": "US",
            "telephone_number": "619-500-7699",
            "fax_number": "619-567-7775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2205 Ross Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "El Centro",
            "state": "CA",
            "postal_code": "922433623",
            "country_code": "US",
            "telephone_number": "760-406-4402",
            "fax_number": "619-567-7775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASILLAS BERUMEN",
        "first_name": "SERGIO",
        "middle_name": "GUILLERMO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2024-03-26",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT196707",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "C185956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Casas
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• Kierstyn Cash
• Luca Alexandre Casimiro
• Amanda Marie Cason
• Jordon Cassey
• Elizabeth Castaneda
• Iris Castaneda, MS SCHOOL PSYCHOLOGY

• Vascular Surgery Physician in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.