MRS. CASEY KATHLEEN SALGADO (PA-C) – Physician Assistant, NPI 1174087977

MRS. CASEY KATHLEEN SALGADO (PA-C) is a healthcare provider. based in Hawthorne, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA56478 (CA). The NPI Number for MRS. CASEY KATHLEEN SALGADO (PA-C) is 1174087977

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CASEY KATHLEEN SALGADO (PA-C)
NPI
1174087977
Phone
(310) 908-8402
Address
4661 W 130th St
Enumeration Date
25 January 2019
Last Update Date
19 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5408252202
Graduation Year
2018 (8 years ago)
PAC ID
1355673112
Group Practice PAC ID
6709256142
Professional Enrollment ID
I20201117000804
Address ID
VA227013431CU1420XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

10,564 PHYSICIAN ASSISTANT in CA

Provider Addresses for MRS. CASEY KATHLEEN SALGADO (PA-C)

  • 4661 W 130th St

    Hawthorne, CA 902505146

    Phone: (310) 908-8402

    Type: Location

  • 1106 S Pacific Coast Hwy

    Redondo Beach, CA 902774902

    Phone: (310) 316-1661

    Type: Location

  • PO BOX 1820

    HAWTHORNE, CA 902511820

    Phone:

    Type: Mailing

  • 1106, Pacific Coast Highway, Clifton, Redondo Beach, Los Angeles County, California, 90277, United States

    REDONDO BEACH, CA 902774902

    Phone: (310) 316-1661

    Type: Location

  • 1420 S MAIN ST

    CULPEPER, VA 227013431

    Phone: (540) 825-2202

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-11-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201117000804IPhysician AssistantVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes115106$0
87804Detection test by immunoassay with direct visual observation for influenza virus5225$0
99204New patient office or other outpatient visit, 45-59 minutes5050$0
99213Established patient office or other outpatient visit, 20-29 minutes4746$0
81003Automated urinalysis test4035$0
View full utilization report →

Insurance plans in this area (ZIP 90250)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709256142View full group profile
NameSpecialtyState
Physician AssistantVA
Physician AssistantNC
Physician AssistantVA
Physician AssistantVA
Family PracticeVA
Nurse PractitionerVA
Physician AssistantVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerNC

Reviews

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Frequently asked questions

What NPI should I save for MRS. CASEY KATHLEEN SALGADO (PA-C)?
Save NPI 1174087977 if you need a stable reference for MRS. CASEY KATHLEEN SALGADO (PA-C).
Does this profile mean MRS. CASEY KATHLEEN SALGADO (PA-C) is currently active?
Yes — MRS. CASEY KATHLEEN SALGADO (PA-C) appears active in the national provider directory.
What kind of provider is MRS. CASEY KATHLEEN SALGADO (PA-C)?
The page reflects Physician Assistant for MRS. CASEY KATHLEEN SALGADO (PA-C). Clinical services aligned with this taxonomy classification.
Where is MRS. CASEY KATHLEEN SALGADO (PA-C)'s primary listing?
We display Hawthorne, California because that is what the record indicates for MRS. CASEY KATHLEEN SALGADO (PA-C).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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