MEDICARE: MR. ALEX ROBERTO CASADO

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1053454363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALEX ROBERTO CASADO

Provider Business Mailing Address
First Line	:	7245 E SOUTHGATE DR
Second Line	:	TURNING POINT FIT PROGRAM
City	:	SACRAMENTO
State	:	CA
Zip	:	95823-2620
Country	:	US
Telephone Number	:	916-427-7141
Fax Number	:	916-427-7122

Provider Business Practice Location Address
First Line	:	3810 ROSIN CT STE 170
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95834-1656
Country	:	US
Telephone Number	:	916-567-4222
Fax Number	:	916-567-4220

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

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	03/01/2018

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