Individual
CASEY CACCAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14850 ROSCOE BLVD, PANORAMA CITY, CA 91402-4618
(818) 904-3122
Mailing address
2334 ROWLAND AVE, SIMI VALLEY, CA 93063-3050
(805) 657-7997
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95163263
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95136263
RN
CA
Enumeration date
10/28/2019
Last updated
10/28/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us