Cecilia Kaesler, D.O., Inc.

Key facts

NPI

1659670784

Entity type

Organization (NPI type 2)

Primary specialty

Internal Medicine Physician 207R00000X

License

20A6257 (CA)

Legal business name

CECILIA KAESLER, D.O., INC.

Practice address

1113 Foothill Blvd
Suite a
La Canada, CA 91011-3207

Phone

(818) 790-0357

NPI assigned

Mar 15, 2011

Organization subpart

No

Authorized official

Name

Dr. Cecilia Tsang Kaesler, D.O. NPI 1326092891

Title

President

Phone

(818) 790-0357

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cecilia Tsang Kaesler, DO Internal Medicine Physician · La Canada, CA · NPI 1326092891
  Medicare reassignment NPD Authorized official CA · INTERNAL MEDICINE

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 20, 2018.

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1659670784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 FOOTHILL BLVD",
            "address_2": "SUITE A",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "91011",
            "telephone_number": "818-790-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 FOOTHILL BLVD",
            "address_2": "SUITE A",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910113207",
            "telephone_number": "818-790-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CECILIA KAESLER, D.O., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "KAESLER",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "TSANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-790-0357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A6257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "20A6257",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1326092891",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in La Canada, CA · Internal Medicine Physician in California