Individual provider Active NPI

Kyle Andrew Casey, PA

  • Medical Physician Assistant
  • Lemoore, CA
National Provider Identifier
1659017960
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
61072 Issued in CA
Practice address
209 C St
Lemoore, CA 93245-2930
Phone
(559) 924-7005
NPI assigned
May 10, 2022
Last updated
May 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 61072 CA Primary

Addresses

Primary practice location

209 C St
Lemoore, CA 93245-2930

Mailing address

5001 Quonset Dr
Sacramento, CA 95820-6132
Phone (209) 499-0680

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231121002771 CA Practitioner - Physician Assistant 7315395886 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Erick Madrigal MD Mba Inc CurrentSince Nov 1, 2023 Accepting new patients
Erick Madrigal, MD, Mba, Inc. CurrentSince Nov 1, 2023 Accepting new patients
Clayton K Casey MD Inc a Professional Medical Corporation Past Accepting new patients
Stanislaus Orthopaedic and Sports Medicine Clinic Past Accepting new patients

Locations

833 Sequoia Ave
Lindsay, CA 93247
Phone (559) 562-1361

222 W Henderson Ave
Porterville, CA 93257
Phone (559) 784-5483

Interoperability endpoints

  • Direct secure messaging: kyle.andrew.casey.1@6501.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1659017960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 QUONSET DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958206132",
            "telephone_number": "209-499-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 C ST",
            "city": "LEMOORE",
            "state": "CA",
            "postal_code": "932452930",
            "telephone_number": "559-924-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "KYLE",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "61072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemoore, CA

Sources for this page

Verify at the official NPI Registry.