MR. CASEY RIDER
NPI 1235367079
Speech-Language Pathologist in Oakland, CA

Active since July 01, 2009
280 W MACARTHUR BLVD, OAKLAND, CA 94611(510) 752-1000 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Casey Rider NPPES

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

MR. CASEY RIDER (NPI 1235367079) is an individual speech-language pathologist provider in Oakland, California, licensed in California (11221) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1235367079
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameMR. CASEY RIDER
Location Address280 W MACARTHUR BLVDOakland, CA 94611-5642
Mailing Address36 Alta Vista WaySan Rafael, CA 94901-3517 · (415) 465-5765
Sole ProprietorNo
Enumeration DateJuly 1, 2009
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1235367079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in CA · 11221
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
280 W MACARTHUR BLVD, Oakland, CA 94611

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Casey Rider is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Casey Rider reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Pharmacist
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Pharmacist
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Nurse Anesthetist, Certified Registered
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Obstetrics & Gynecology
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Anesthesiology
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Thoracic Surgery (Cardiothoracic Vascular Surgery)
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Nurse Anesthetist, Certified Registered
280 W MACARTHUR BLVD
OAKLAND, CA 94611
Pharmacist
280 W MACARTHUR BLVD
OAKLAND, CA 94611

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 Rider's NPI number?

The NPI number for Casey Rider is 1235367079. It was assigned to this individual provider in the NPPES registry on July 1, 2009.

Where is Casey Rider located?

Casey Rider practices at 280 W Macarthur Blvd, Oakland, CA 94611. The listed phone number is (510) 752-1000.

What is Casey Rider's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Casey Rider enrolled in Medicare?

Yes. Casey Rider is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Casey Rider's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Casey Rider reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Casey Rider's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Casey Rider was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.