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THEODORE GERARD A. CASPE M.D. A MEDICAL CORPORATION NPI 1306068499


NPI Information

NPI: 1306068499
Provider Name: THEODORE GERARD A. CASPE, M.D., A MEDICAL CORPORATION
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D1068049

Address:
12375 BASELINE RD
SUITE 104
RANCHO CUCAMONGA, CA
ZIP 91739
Phone: (909) 899-6969
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THEODORE GERARD A. CASPE, M.D., A MEDICAL CORPORATION is a family medicine in Rancho Cucamonga, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. THEODORE GERARD A. CASPE, M.D., A MEDICAL CORPORATION NPI is 1306068499. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12375 BASELINE RD
SUITE 104
RANCHO CUCAMONGA, CA
ZIP 91739
Phone: (909) 899-6969
Fax: (909) 899-9922

The provider's authorized official is THEODORE GERARDGerard Aguilar Caspe .
The authorized official title is President and has the following contact phone number (909) 899-6969.

The CLIA number assigned to this NPI record is 05D1068049 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/2/2007 and was last updated on 10/31/2007.


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
1207Q00000XFamily MedicineA97790CALIFORNIAYes

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
11942349113OTHERCALIFORNIAINDIVIDUAL NPI

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

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