MEDICARE: MATHEW-ALLEN MCCASTER CTH, NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	CTH-202400222	CA

General Provider Information

NPI Number	:	1033976758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATHEW-ALLEN MCCASTER CTH, NP

Provider Business Mailing Address
First Line	:	4305 SUN DEVILS AVENUE
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93313
Country	:	US
Telephone Number	:	818-477-7244
Fax Number	:

Provider Business Practice Location Address
First Line	:	4305 SUN DEVILS AVENUE
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93313-5441
Country	:	US
Telephone Number	:	818-477-7244
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/29/2024
Last Update Date	:	08/23/2024

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