Individual provider Active NPI

Julie Elizabeth Kasem, PA

  • Medical Physician Assistant
  • Canoga Park, CA
National Provider Identifier
1679650345
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA16699 Issued in CA
Practice address
7301 Topanga Canyon Blvd Ste 330
Canoga Park, CA 91303-1357
Phone
(844) 968-6363
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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 PA16699 CA Primary

Addresses

Primary practice location

7301 Topanga Canyon Blvd Ste 330
Canoga Park, CA 91303-1357

Mailing address

7301 Topanga Canyon Blvd Ste 330
Canoga Park, CA 91303-1357
Phone (844) 968-6363

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
16699CAMDSpeech-Language Pathologist
PA16699CAMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: jkasem28222@carelonhealth.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1679650345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 TOPANGA CANYON BLVD STE 330",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031357",
            "telephone_number": "844-968-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 TOPANGA CANYON BLVD STE 330",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031357",
            "telephone_number": "844-968-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASEM",
        "first_name": "JULIE",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA16699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.