Individual provider Active NPI

Cody Tyler Casalegno, DO

  • Family Medicine Physician
  • Long Beach, CA
National Provider Identifier
1891329157
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A17066 Issued in CA
Practice address
2776 Pacific Ave
Long Beach, CA 90806-2613
Phone
(562) 997-2000
NPI assigned
Feb 26, 2020
Last updated
Feb 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A17066 CA Primary

Addresses

Primary practice location

2776 Pacific Ave
Long Beach, CA 90806-2613

Mailing address

3635 Myrtle Ave
Long Beach, CA 90807-4145
Phone (562) 508-9342

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210421002800 CA Practitioner - Hospitalist 3072921543 Reassigns benefits to 3 organizations
Practice locations: Long Beach, CA

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
College of Osteo Med of the Pacific at Pomona, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Andrew Nguyen DO a Professional Medical CorporationGroup PAC ID 5092168740, 6 clinicians
Apollomed Hospitalists a Medical CorporationGroup PAC ID 5991857708, 31 clinicians

Practice addresses (Care Compare)

280 Newport Ctr Dr
Suite 110
Newport Beach, CA 92660-7541
Phone (949) 478-3305

525 N Garfield Ave
Monterey Park, CA 91754-1202
Phone (818) 839-5200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
17066CAMDMarriage & Family Therapist
20A17066CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Medical Care of California Family Medicine CurrentSince Mar 16, 2026 Accepting new patients
Andrew Nguyen DO a Professional Medical Corporation CurrentSince Sep 1, 2025 Accepting new patients
Astrana Care Hospitalists, a Medical Corporation CurrentSince Aug 1, 2022 Accepting new patients

Locations

1680 S Garfield Ave
Ste 204
Alhambra, CA 91801
Phone (818) 839-5100

415 N Crescent Dr
Ste 320
Beverly Hills, CA 90210
Phone (415) 510-2755

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

280 Newport Center Dr
Ste 110
Newport Beach, CA 92660
Phone (949) 478-3305

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

1820 E Warm Springs Rd
Ste 130
Las Vegas, NV 89119

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1891329157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 MYRTLE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074145",
            "telephone_number": "562-508-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062613",
            "telephone_number": "562-997-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASALEGNO",
        "first_name": "CODY",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A17066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.