Active NPI
Joseph Anthony Casucci
- Durable Medical Equipment & Medical Supplies
- Eureka, CA
National Provider Identifier
1467666164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 539 G St
Suite 201
Eureka, CA 95501-1030 - Phone
- (707) 443-5100
- Fax
- (707) 268-8830
- NPI assigned
- May 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
539 G St
Suite 201
Eureka, CA 95501-1030
Mailing address
PO Box 6208
Eureka, CA 95502-6208
Phone (707) 443-5100
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191024000000",
"number": "1467666164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6208",
"city": "EUREKA",
"state": "CA",
"postal_code": "955026208",
"telephone_number": "707-443-5100",
"fax_number": "707-268-8830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "539 G ST",
"address_2": "SUITE 201",
"city": "EUREKA",
"state": "CA",
"postal_code": "955011030",
"telephone_number": "707-443-5100",
"fax_number": "707-268-8830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASUCCI",
"first_name": "JOSEPH",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-10",
"last_updated": "2007-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.