Active NPI
Andre Martin Kasko, D.O.
- Gynecology Physician
- Yucca Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 20A6300
- Practice address
- 57445 29 Palms Hwy
Suite 301
Yucca Valley, CA 92284-2947 - Phone
- (760) 365-2800
- Fax
- (760) 365-1406
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 20A6300 | CA | |
| Gynecology Physician | 207VG0400X | 20A6300 | CA | Primary |
Addresses
Primary practice location
57445 29 Palms Hwy
Suite 301
Yucca Valley, CA 92284-2947
Mailing address
PO Box 1220
Joshua Tree, CA 92252-0810
Phone (760) 365-2800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX63000 | Medicaid | CA | |
| 207V00000X | Medicaid | CA | |
| 207VG0400X | Medicaid | CA |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050111000463 | CA | Practitioner - Obstetrics/Gynecology | 7012826324 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- College of Osteo Med of the Pacific at Pomona, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Health Center of Joshua Tree, Inc
Practice addresses (Care Compare)
57445 29 Palms Hwy
Suite 302
Yucca Valley, CA 92284-2947
Phone (760) 366-7555
63532 20 Palms Hwy
Joshua Tree, CA 92252
Phone (760) 366-1800
Hospital & facility affiliations
- Suncrest Healthcare
- Hi-Desert Medical Center
- Desert Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A6300 | CA | MD | Obstetrics Physician |
| 6300 | CA | MD | Speech-Language Assistant |
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morongo Basin OB/GYN Medical Group Inc | Critical Care Medicine | Current | Accepting new patients |
| Morongo Basin OB/GYN Medical Group Inc | Gynecology | Current | Accepting new patients |
| Coachella Desert Oasis OB/GYN, Medical Associates Inc. | Past | Accepting new patients | |
| Family Health Center of Joshua Tree, Inc. | Past | Accepting new patients | |
| High Desert Family Medical Clinic | Past | Accepting new patients |
Locations
57445 29 Palms Hwy
Ste 301
Yucca Valley, CA 92284
Phone (760) 365-2800
7350 Church St
Yucca Valley, CA 92284
Phone (760) 369-3069
57445 29 Palms Hwy
Ste 302
Yucca Valley, CA 92284
Phone (760) 366-7555
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Family Health Center of Joshua Tree, Inc | Rural health clinic | 5% Or Greater Direct Ownership Interest W-2 Managing Employee |
Sep 8, 2008 Sep 8, 2008 |
| Hi-Desert Medical Clinic | Rural health clinic | 5% Or Greater Direct Ownership Interest W-2 Managing Employee |
Sep 2, 2009 Sep 2, 2009 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Family Medicine Physician
- Yucca Valley, CA
- NPI 1255511630
5% Or Greater Direct Ownership Interest, W-2 Managing Employee
-
- Family Medicine Physician
- Yucca Valley, CA
- NPI 1639405004
5% Or Greater Direct Ownership Interest, W-2 Managing Employee
Organizations & group practices 5
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.
-
- Obstetrics Physician
- Joshua Tree, CA
- NPI 1629392675
CA, Gynecology
-
- Obstetrics & Gynecology Physician
- Yucca Valley, CA
- NPI 1992705370
Critical Care Medicine
-
- Family Medicine Physician
- Yucca Valley, CA
- NPI 1639405004
-
- Specialist
- Palm Springs, CA
- NPI 1609965748
-
- Family Medicine Physician
- Yucca Valley, CA
- NPI 1255511630
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palm Springs, CA
- NPI 1104856095
Hospital
-
- Home Health Agency
- Palm Desert, CA
- NPI 1629674957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1679624191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1220",
"city": "JOSHUA TREE",
"state": "CA",
"postal_code": "922520810",
"telephone_number": "760-365-2800",
"fax_number": "760-365-1406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57445 29 PALMS HWY",
"address_2": "SUITE 301",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922842947",
"telephone_number": "760-365-2800",
"fax_number": "760-365-1406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASKO",
"first_name": "ANDRE",
"middle_name": "MARTIN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "CA",
"license": "20A6300",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "20A6300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX63000",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207V00000X",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207VG0400X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yucca Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.