Individual provider Active NPI

Douglas Earl Casey, M.D.

  • Diagnostic Radiology Physician
  • Anaheim, CA
National Provider Identifier
1821034653
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G47386 Issued in CA
Practice address
5528 E la Palma Ave
Suite 4-a
Anaheim, CA 92807-2115
Phone
(714) 970-0200
Fax
(714) 970-0270
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G47386 CA Primary

Addresses

Primary practice location

5528 E la Palma Ave
Suite 4-a
Anaheim, CA 92807-2115

Mailing address

5528 E la Palma Ave
Suite 4-a
Anaheim, CA 92807-2115
Phone (714) 970-0200

Other identifiers 1

IdentifierTypeStateIssuer
00G473860MedicaidCA

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G47386CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fullerton Radiology Medical Group, Inc Diagnostic Radiology PastSince Dec 1, 2003 Accepting new patients
Simonmed Imaging a Professional Corporation Diagnostic Radiology Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1821034653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5528 E LA PALMA AVE",
            "address_2": "SUITE 4-A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072115",
            "telephone_number": "714-970-0200",
            "fax_number": "714-970-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5528 E LA PALMA AVE",
            "address_2": "SUITE 4-A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072115",
            "telephone_number": "714-970-0200",
            "fax_number": "714-970-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASEY",
        "first_name": "DOUGLAS",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G47386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G473860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.