Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Casey Bowen Fillerup

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1093229650

Casey Bowen Fillerup is a Podiatry in Santa Maria, California. Graduated from Western Un of Hlth Sciences, Col of Podiatric Med in 2017, 9 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Trained at
Western Un of Hlth Sciences, Col of Podiatric Med
Licensed in
CA
In the registry since
2017

Practice location Address checks out

1145 E Clark Ave Ste A
Santa Maria, CA 93455-5150
Phone: (805) 934-0570
Fax: (805) 938-7688
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E5622 (CA)

Record details

NPI number1093229650
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 18, 2017
Last updated in NPPESFebruary 21, 2023
Certification dateFebruary 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolWESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Santa Maria