MEDICARE: MR. JEFFREY KASIK

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	103K00000X	Behavior Analyst	1-20-41374	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	27BW8	OTHER	CA	MEDI-CAL
2	D4349506	OTHER	CA	DRIVER LICENSE
3	41BW	OTHER	CA	MEDI-CAL
4	BWASOCFSP	OTHER	CA	MEDI-CAL
5	PRVNBR	OTHER	CA	MEDI-CAL

General Provider Information

NPI Number	:	1275811945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JEFFREY KASIK

Provider Business Mailing Address
First Line	:	5644 RAVENSPUR DR APT 311
Second Line	:
City	:	RANCHO PALOS VERDES
State	:	CA
Zip	:	90275-3530
Country	:	US
Telephone Number	:	169-532-3341
Fax Number	:

Provider Business Practice Location Address
First Line	:	5644 RAVENSPUR DR APT 311
Second Line	:
City	:	RANCHO PALOS VERDES
State	:	CA
Zip	:	90275-3530
Country	:	US
Telephone Number	:	916-532-3341
Fax Number	:

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

Provider Enumeration Date	:	07/29/2011
Last Update Date	:	12/28/2023

Similar Medicare Providers

1316896202 — MELISSA E CHAVEZ
Practice Location Address:

7324 NAGOYA RD NE
RIO RANCHO, NM
87144-3530

Practice Phone: 505-440-3037
Practice Fax:

1598612798 — SANDIA VISTA HOME CARE LLC
Practice Location Address:

7324 NAGOYA RD NE
RIO RANCHO, NM
87144-3530

Practice Phone: 505-440-3037
Practice Fax:

1316894850 — LIANA TOMASEVIC MS CCC SLP
Practice Location Address:

6221 PICARDIE RD
RANCHO PALOS VERDES, CA
90275-6551

Practice Phone: 310-292-9481
Practice Fax:

1184579419 — GINA MIRIGLIANI
Practice Location Address:

28709 MOUNT SHASTA DR
RANCHO PALOS VERDES, CA
90275-1927

Practice Phone: 310-210-7055
Practice Fax:

1629949482 — RESULTS MEDICAL GROUP INC
Practice Location Address:

29050 S WESTERN AVE STE 102A
RANCHO PALOS VERDES, CA
90275-0887

Practice Phone: 310-547-3585
Practice Fax:

1821095654 — DR. WESLEY G. BRADFORD MD
Practice Location Address:

5122 OCONTO AVE
RANCHO PALOS VERDES, CA
90275-3733

Practice Phone: 310-541-6686
Practice Fax:

Directions to “ MR. JEFFREY KASIK ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.