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DR. JOE MANUEL CASILLAS JR. MD
NPI 1366610396
Student in an Organized Health Care Education/Training Program in Loma Linda, CA

Active since February 12, 2008PECOS Enrolled
11234 ANDERSON ST, HOUSE STAFF OFFICE CP 21005, LOMA LINDA, CA 92354(909) 558-8131(909) 558-0430 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Joe Manuel Casillas Jr. Md NPPES

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

DR. JOE MANUEL CASILLAS JR. MD (NPI 1366610396) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366610396
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JOE MANUEL CASILLAS JR.Credential: MD
Location Address11234 ANDERSON ST, HOUSE STAFF OFFICE CP 21005Loma Linda, CA 92354-2804
Mailing Address11234 Anderson St, House Staff Office Cp 21005Loma Linda, CA 92354-2804 · (909) 558-8131 · Fax (909) 558-0430
Phone(909) 558-8131
Fax(909) 558-0430
Sole ProprietorNo
Enumeration DateFebruary 12, 2008
Last NPPES UpdateDecember 3, 2021
✔ NPI 1366610396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11234 ANDERSON ST, Loma Linda, CA 92354
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Joe Manuel Casillas Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

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

Southern California Permanente Medical Group
9.8 mi
Health Maintenance Organization
9961 SIERRA AVE
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1689606196 (909) 427-3910

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.

ELYSE LAUREN GURAN
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4015
SAMUEL COOK CHAMBI
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4015
LUIS MIGUEL OLMEDO TEMICH MD
General Practice
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-2822
HYUKJE SUNG MD, MA
Preventive Medicine (Occupational Medicine)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6491
JEFFERSON BRANCH RICHARDS
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4074
JOSEPH UNIS M.D.
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-8311
MARINA LIU M.D.
Anesthesiology
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4475
JOSEPH M WILKINSON CRNA
Nurse Anesthetist, Certified Registered
11234 ANDERSON ST
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4475

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 Joe Casillas's NPI number?

The NPI number for Joe Casillas is 1366610396. It was assigned to this individual provider in the NPPES registry on February 12, 2008.

Where is Joe Casillas located?

Joe Casillas practices at 11234 Anderson St House Staff Office Cp 21005, Loma Linda, CA 92354. The listed phone number is (909) 558-8131.

What is Joe Casillas's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Joe Casillas enrolled in Medicare?

Yes. Joe Casillas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Joe Casillas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joe Casillas reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, 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 Joe Casillas'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 Joe Casillas was last updated on December 3, 2021. 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.