Phillip Joseph Cabasso, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G44885 Issued in CA

Practice address

612 W Duarte Rd
#303
Arcadia, CA 91007-7602

Phone

(626) 447-9397

Fax

(626) 447-0094

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Michael S. Agron, M.D., Inc.

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  • NPI 1699716100
  NPD (past)
• Vascular Care Specialists of Los Angeles

  • Vascular Surgery Physician
  • Arcadia, CA
  • NPI 1972181493
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1609812841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E MIRA MONTE AVE",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910241223",
            "telephone_number": "626-447-9397",
            "fax_number": "626-447-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W DUARTE RD",
            "address_2": "#303",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077602",
            "telephone_number": "626-447-9397",
            "fax_number": "626-447-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABASSO",
        "first_name": "PHILLIP",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G44885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G448850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Rae Butler
• Katrina Elise Buxbaum, NP
• Rubi Buxton, PT, DPT
• C. Rodney Barnhart, M.D. Inc
• Caash Cancer Center
• Scott Cable, LMFT
• Eliza Cabral
• Ilse Cabrera
• Amy Elizabeth Caffero-Tolemy, PSY.D.
• Danna Cafuir, CMT

• Internal Medicine Physician in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.