Joel Macasero, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

23830 Issued in CA

Practice address

1234 McHenry Ave
Modesto, CA 95350-5373

Phone

(209) 409-3199

NPI assigned

Dec 10, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Interoperability endpoints

• Direct secure messaging: joel.macasero.1@29991.direct.athenahealth.com

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1770914202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 MCHENRY AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505373",
            "telephone_number": "209-409-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 MCHENRY AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505373",
            "telephone_number": "209-409-3199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12341 Satellite Dr",
            "address_purpose": "LOCATION",
            "city": "Los Alamitos",
            "state": "CA",
            "postal_code": "907205114",
            "country_code": "US",
            "telephone_number": "562-676-6036",
            "fax_number": "562-296-8612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACASERO",
        "first_name": "JOEL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-10",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "23830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Andrew Ma, DO
• Leslicharme Agawin Macapayad, FNP-C
• Brianna Macarthur
• Grace Tamonan Macarubbo, DDS
• Marie Jean Macarubbo, MD
• Arturo Macasinag, M.D
• Ewan Stephen Macdonald, RNFA
• Cynthia Macedo
• Rachel Macedo, RADT1
• Cody Alan Mach

• Nurse Practitioner in Modesto, CA
• Providers in Modesto, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.