Tyler Scott Casavant, PA-C, MMS

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

53380 Issued in CA

Practice address

2615 Chester Ave
Bakersfield, CA 93301-2014

Phone

(661) 395-3000

NPI assigned

Apr 29, 2016

Last updated

Apr 29, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Priority Urgent CareGroup PAC ID 7911287909, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Priority Urgent Care

  • Emergency Medicine Physician
  • Bakersfield, CA
  • NPI 1063928463
  Medicare reassignment Care Compare group
• Grand Avenue Emergency Physicians Medical Group Inc

  • Emergency Medicine Physician
  • Bakersfield, CA
  • NPI 1962913632
  Medicare reassignment
• Priority Urgent Care

  • Urgent Care Clinic/Center
  • Bakersfield, CA
  • NPI 1881148096
  NPD
• Priority Urgent Care

  • Urgent Care Clinic/Center
  • Bakersfield, CA
  • NPI 1578110979
  NPD (past)

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1861847543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11318 PACIFIC SHORES DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933128212",
            "telephone_number": "661-747-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 CHESTER AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012014",
            "telephone_number": "661-395-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASAVANT",
        "first_name": "TYLER",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PA-C, MMS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "53380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Casabar Jr.
• Sulema Casares
• Cheryl Casas
• Christian Lino Casas
• Milagros Diana Casas
• Cascade Health Partners, LLC (Lakeside Surgery Center)
• Michael Brandon Case, MSW
• Te Rai Chanell Cash, LICENSED VOCATIONAL
• Marciano Casica
• Jon Michael Casida, A8422303

• Medical Physician Assistant in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.
• 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.

Verify at the official NPI Registry.