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DR. DAVID LEE CASSIDY M.D. NPI 1376591594


NPI Information

NPI: 1376591594
Provider Name: DR. DAVID LEE CASSIDY, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
18944 MOUNT CIMARRON ST
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 968-7706
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DR. David Lee Cassidy, M.D. is a diagnostic radiology radiology in Fountain Valley, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. David Lee Cassidy, M.D. NPI is 1376591594. 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:

18944 MOUNT CIMARRON ST
FOUNTAIN VALLEY, CA
ZIP 92708-313
Phone: (714) 968-7706

The NPI 1376591594 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 11/27/2007.


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
1174400000XSpecialistC28354CALIFORNIANo
22085N0904XRadiologyNuclear RadiologyC28354CALIFORNIANo
32085R0202XRadiologyDiagnostic RadiologyC28354CALIFORNIAYes

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
1P00357479MEDICARE PINCALIFORNIA
200C283540221OTHERCALIFORNIACALOPTIMA
300C283540MEDICAIDCALIFORNIA
400C283540OTHERCALIFORNIABLUE SHIELD
5WC28354FMEDICARE PINCALIFORNIA

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.