Individual provider Active NPI

Casey Dawn-Marie Corsino, D.O.

  • Internal Medicine Physician
  • Hemet, CA
National Provider Identifier
1952755803
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A15817 Issued in CA
Practice address
1278 E Latham Ave
Hemet, CA 92543-4445
Phone
(951) 925-6625
Fax
(888) 702-6846
NPI assigned
Apr 18, 2016
Last updated
Dec 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A15817 CA Primary

Addresses

Primary practice location

1278 E Latham Ave
Hemet, CA 92543-4445

Mailing address

1278 E Latham Ave
Hemet, CA 92543-4445
Phone (951) 925-6625

Other names 1

  • Casey Dawn-Marie Bjelland Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190719002924 CA Practitioner - Internal Medicine 1951637529 Reassigns benefits to 1 organization
I20211221001363 ID Practitioner - Internal Medicine 1951637529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Snake River Hospitalists LLCGroup PAC ID 7113359969, 9 clinicians

Practice addresses (Care Compare)

2325 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 557-2700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A15817CAMDInternal Medicine Physician
15817CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hemchand Kolli, MD Inc Single Specialty CurrentSince Jul 1, 2019 Accepting new patients
Snake River Hospitalists, LLC Single Specialty CurrentSince Dec 1, 2021 Accepting new patients

Locations

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

1278 E Latham Ave
Hemet, CA 92543
Phone (951) 925-6625

3270 E 17th St
Ammon, ID 83406
Phone (208) 534-6568

2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686

2327 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-1000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1952755803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1278 E LATHAM AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434445",
            "telephone_number": "951-925-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1278 E LATHAM AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434445",
            "telephone_number": "951-925-6625",
            "fax_number": "888-702-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORSINO",
        "first_name": "CASEY",
        "middle_name": "DAWN-MARIE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A15817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "BJELLAND",
            "middle_name": "DAWN-MARIE",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.