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CASEY MCCOLLUM PA-C
NPI 1083963664
Physician Assistant in Pomona, CA

Active since August 29, 2012
1902 ROYALTY DR, SUITE 130, POMONA, CA 91767(909) 865-5777(909) 865-5781 Get Directions Write a Review

NPPES record last updated: January 13, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Casey Mccollum Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASEY MCCOLLUM PA-C (NPI 1083963664) is an individual physician assistant in Pomona, California, licensed in California (PA22463) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1083963664
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCASEY MCCOLLUMCredential: PA-C
Location Address1902 ROYALTY DR, SUITE 130Pomona, CA 91767-3030
Mailing Address1902 Royalty Dr, Suite 130Pomona, CA 91767-3030 · (909) 865-5777
Phone(909) 865-5777
Fax(909) 865-5781
Sole ProprietorNo
Enumeration DateAugust 29, 2012
Last NPPES UpdateJanuary 13, 2014
✔ NPI 1083963664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA22463
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1902 ROYALTY DR, Pomona, CA 91767
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROCHELLE ROSE GUNNARSSON DPT
Physical Therapist
1902 ROYALTY DR, SUITE 220
POMONA, CA 91767
Los Angeles County (909) 622-0006
VINOD K DHAWAN MD
Internal Medicine (Infectious Disease)
1902 ROYALTY DR, SUITE 200
POMONA, CA 91767
Los Angeles County (909) 865-5023
DAVID H PAYNE MD INC
Orthopaedic Surgery
1902 ROYALTY DR, #260
POMONA, CA 91767
Los Angeles County (909) 397-0833
SAMANTHA CARDENO
Physical Therapist
1902 ROYALTY DR, SUITE 170
POMONA, CA 91767
Los Angeles County (909) 620-9800
DR. JAMES PHILIP WARREN M.D.
Radiology (Diagnostic Radiology)
1902 ROYALTY DR
POMONA, CA 91767
Los Angeles County (714) 573-7647
DR. JONATHAN NEWMAN DPT
Physical Therapist
1902 ROYALTY DR, SUITE 180
POMONA, CA 91767
Los Angeles County (909) 620-8443
ARJ MEDICAL INC.
Non-Pharmacy Dispensing Site
1902 ROYALTY DR, SUITE 120
POMONA, CA 91767
Los Angeles County (909) 622-5600
UNITED THERAPY NETWORK INCORPORATED
Physical Therapist
1902 ROYALTY DR, SUITE 220
POMONA, CA 91767
Los Angeles County (909) 622-0006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Casey Mccollum's NPI number?

The NPI number for Casey Mccollum is 1083963664. It was assigned to this individual provider in the NPPES registry on August 29, 2012.

Where is Casey Mccollum located?

Casey Mccollum practices at 1902 Royalty Dr Suite 130, Pomona, CA 91767. The listed phone number is (909) 865-5777.

What is Casey Mccollum's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Casey Mccollum was last updated on January 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.