DR. RITA G. AZZAM CASO D.O. NPI 1518022219

NPI Information

NPI: 1518022219
Provider Name: DR. RITA G. AZZAM CASO, D.O.
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

Organization: PERMANENTE MEDICAL GROUP INC

PECOS Registration: Yes

Address:
2155 IRON POINT RD
FOLSOM, CA
ZIP 95630
Phone: (916) 817-5000
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DR. Rita G. Azzam Caso, D.O. is an adult medicine family medicine in Folsom, CA with 25 years of experience. The provider is definition to come. DR. Rita G. Azzam Caso, D.O. NPI is 1518022219. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CHICAGO HOMEOPATHIC MEDICAL COLLEGE
Graduation Year:1999

The provider's business location address is:

2155 IRON POINT RD
FOLSOM, CA
ZIP 95630-707
Phone: (916) 817-5000

The NPI 1518022219 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 12/25/2006 and was last updated on 2/11/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	20A7936	CALIFORNIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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