Provider Demographics
NPI:1528600558
Name:KEVIN M CASEY MD APMC
Entity type:Organization
Organization Name:KEVIN M CASEY MD APMC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CATHLEEN
Authorized Official - Middle Name:ALVARADO
Authorized Official - Last Name:SALDANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-558-6027
Mailing Address - Street 1:2051 NORTH SOLAR DRIVE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-0641
Mailing Address - Country:US
Mailing Address - Phone:805-456-8890
Mailing Address - Fax:805-456-8894
Practice Address - Street 1:2051 SOLAR DR STE 150
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-0641
Practice Address - Country:US
Practice Address - Phone:805-456-8890
Practice Address - Fax:805-456-8894
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-10
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1487844304Medicaid