Individual provider Active NPI

Elizabeth Casalegno, M.D.

  • Psychiatry Physician
  • Pasadena, CA
National Provider Identifier
1649444787
Registry record updated Sep 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A116137 Issued in CA
Practice address
525 Cordova St
Pasadena, CA 91101-2552
Phone
(818) 643-5082
Fax
(818) 643-7098
NPI assigned
Apr 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A116137 CA Primary

Addresses

Primary practice location

525 Cordova St
Pasadena, CA 91101-2552

Mailing address

6345 Balboa Blvd Ste 365
Encino, CA 91316-1511
Phone (818) 643-5082

Other practice location 1

6345 Balboa Blvd Ste 365
Encino, CA 91316-1511
Phone (818) 643-5082

Other names 1

  • Elizabeth Nakamura Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2024 through Jul 1, 2028

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
76.01
Promoting interoperability
100
Improvement activities
40
Cost
56.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
116137CAMDMental Health Counselor
A116137CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adelpha Psychiatric Group, Inc. Psychiatry CurrentSince Sep 5, 2023 Accepting new patients

Locations

6345 Balboa Blvd
Ste 365
Encino, CA 91316
Phone (818) 643-5082

6345 Balboa Blvd
Ste 199
Encino, CA 91316
Phone (818) 643-5082

525 Cordova St
Pasadena, CA 91101
Phone (818) 643-5082

Interoperability endpoints

  • Direct secure messaging: enakamura43122@direct.uclahealth.org
  • Direct secure messaging: elizabeth.nakamura.1@12972.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12972/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693612800000",
    "number": "1649444787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6345 BALBOA BLVD STE 365",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161511",
            "telephone_number": "818-643-5082",
            "fax_number": "818-643-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 CORDOVA ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012552",
            "telephone_number": "818-643-5082",
            "fax_number": "818-643-7098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6345 Balboa Blvd Ste 365",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "913161511",
            "country_code": "US",
            "telephone_number": "818-643-5082",
            "fax_number": "818-643-7098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASALEGNO",
        "first_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-18",
        "last_updated": "2023-09-02",
        "certification_date": "2023-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A116137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "NAKAMURA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.