Individual provider Active NPI

Dexlier Casas Go

  • Assisted Living Facility
  • Watsonville, CA
National Provider Identifier
1669235479
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
445202878 Issued in CA
Practice address
591 Arlene Dr
Watsonville, CA 95076-3518
Phone
(831) 228-1207
Fax
(831) 851-0080
NPI assigned
Feb 5, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 445202878 CA Primary

Addresses

Primary practice location

591 Arlene Dr
Watsonville, CA 95076-3518

Mailing address

8729 Eagles Roost Rd
Salinas, CA 93907-9214
Phone (831) 228-1207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
445202878CAMDAssisted Living Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Rachelle's Home Inc. Assisted Living Facility CurrentSince Feb 18, 2024 Accepting new patients
Eastlake Villa Inc Assisted Living Facility CurrentSince Feb 18, 2024 Accepting new patients

Organizations & group practices 2

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": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1669235479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8729 EAGLES ROOST RD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939079214",
            "telephone_number": "831-228-1207",
            "fax_number": "831-851-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 ARLENE DR",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763518",
            "telephone_number": "831-228-1207",
            "fax_number": "831-851-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GO",
        "first_name": "DEXLIER",
        "middle_name": "CASAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "445202878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.