Active NPI
Casey Dawn-Marie Corsino, D.O.
- Internal Medicine Physician
- Hemet, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20A15817
- 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, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20A15817 | CA | MD | Internal Medicine Physician |
| 15817 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hemchand Kolli, MD Inc | Single Specialty | Current | Accepting new patients |
| Snake River Hospitalists, LLC | Single Specialty | Current | 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
- 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.
-
dba Eastern Idaho Regional Medical Center
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1225082209
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1114481447
-
- Critical Access Hospital
- Arco, ID
- NPI 1114925047
-
dba Seasons Medical By Madison Memorial
- Obstetrics & Gynecology Physician
- Rexburg, ID
- NPI 1073154266
Hospital
-
- General Acute Care Hospital
- Rexburg, ID
- NPI 1992747570
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
- Community Based Hospice Care Agency
- Idaho Falls, ID
- NPI 1063200657
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.
- 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.