Active NPI
Nicholas C Caselman
- Pediatrics Physician
- Los Angeles, CA
National Provider Identifier
1689019424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A135366
- Practice address
- 2010 Zonal Ave
Los Angeles, CA 90033-1026 - Phone
- (323) 409-5086
- NPI assigned
- May 7, 2013
- Last updated
- Jan 14, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MO | ||
| Internal Medicine Physician | 207R00000X | A135366 | CA | |
| Pediatrics Physician | 208000000X | A135366 | CA | Primary |
Addresses
Primary practice location
2010 Zonal Ave
Los Angeles, CA 90033-1026
Mailing address
1200 N State St
Los Angeles, CA 90033-1029
Phone (323) 226-7556
Other practice location 1
1200 N State St
Los Angeles, CA 90033-1029
Phone (323) 226-7556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NC3232267556 | Other | LAC USC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| A135366 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1689019424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N STATE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331029",
"telephone_number": "323-226-7556",
"fax_number": "323-226-2657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 ZONAL AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331026",
"telephone_number": "323-409-5086"
}
],
"practiceLocations": [
{
"address_1": "1200 N State St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900331029",
"country_code": "US",
"telephone_number": "323-226-7556",
"fax_number": "323-226-2657",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASELMAN",
"first_name": "NICHOLAS",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-07",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MO",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A135366",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A135366",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LAC USC",
"identifier": "NC3232267556",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.