Organization Active NPI

Casa Clinic LLC

  • Internal Medicine Physician
  • Clearwater, FL
National Provider Identifier
1679151708
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CASA CLINIC LLC
Practice address
13920 58TH St N Ste 1006
Clearwater, FL 33760-3770
Phone
(813) 600-9981
NPI assigned
Mar 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Authorized official

Name
Dr. Theophilus Sai, MD
Title
Member
Phone
(813) 600-9981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

13920 58TH St N Ste 1006
Clearwater, FL 33760-3770

Mailing address

3218 W Horatio St
Tampa, FL 33609-3028
Phone (813) 600-9981

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1679151708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 W HORATIO ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093028",
            "telephone_number": "813-600-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13920 58TH ST N STE 1006",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603770",
            "telephone_number": "813-600-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "SAI",
        "authorized_official_first_name": "THEOPHILUS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "813-600-9981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.