Jesus Daniel Cazares

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA61111334 Issued in WA

Practice address

1112 6TH Ave Ste 200
Tacoma, WA 98405-4048

Phone

(253) 272-8664

Fax

(253) 627-7880

NPI assigned

Jul 25, 2019

Last updated

Feb 10, 2021By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Franciscan Medical Group

  dba Franciscan Medical Clinic-Gig Harbor

  • Family Medicine Physician
  • Gig Harbor, WA
  • NPI 1386602555

  Physician Assistant

  NPD (past)
• Franciscan Medical Group

  dba FMG - Franciscan Neurology - Federal Way

  • Neurological Surgery Physician
  • Federal Way, WA
  • NPI 1386857530
  NPD (past)

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1518511724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 6TH AVE STE 200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054048",
            "telephone_number": "253-272-8664",
            "fax_number": "253-627-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 6TH AVE STE 200",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054048",
            "telephone_number": "253-272-8664",
            "fax_number": "253-627-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAZARES",
        "first_name": "JESUS",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-25",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61111334",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA61111334",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcazares529050@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1112 6th Ave Ste 200",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984054048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiffany Michell Cavin, LPN
• Marina Catherine Cawthra, APRN
• Allison Lauren Caylor
• Robyn Sabarre Caylor, MA, LMHCA, NCC
• Jami R. Cayo, LMP
• Ccdannpllc (Caring Minds LLC)
• Megan Michele Cecchini, M.D.
• Cedar & Sea Psychology Services, PLLC
• Cedar Medical Specialties
• Cedar Medical Specialties, PLLC (Cedar Laser and Surgery Center)

• Physician Assistant in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.