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DR. TIMOTHY WAYNE CASAREZ MD NPI 1992782148


NPI Information

NPI: 1992782148
Provider Name: DR. TIMOTHY WAYNE CASAREZ, MD
Classification: Pediatrics - 2080P0202X
Entity Type: Individual

Specialization: Pediatric Cardiology

Address:
5400 BALBOA BLVD
SUITE 202 PEDIATRIC CARDIOLOGY MED ASSOC OF SO CAL
ENCINO, CA
ZIP 91316
Phone: (818) 784-6269
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DR. Timothy Wayne Casarez, MD is a pediatric cardiology pediatrics in Encino, CA. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. DR. Timothy Wayne Casarez, MD NPI is 1992782148. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5400 BALBOA BLVD
SUITE 202 PEDIATRIC CARDIOLOGY MED ASSOC OF SO CAL
ENCINO, CA
ZIP 91316-502
Phone: (818) 784-6269
Fax: (818) 784-1531

The enumeration date for this NPI number is 12/29/2005 and was last updated on 11/30/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0202XPediatricsPediatric CardiologyA73301CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12703831MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.