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

Casey Distaso, MD

Individual provider Emergency Medicine Physician · NPI 1003311747

Casey Distaso, MD is an Emergency Medicine in West Hollywood, California. Graduated from Georgetown University School of Medicine in 2018, 8 years ago. Practices with Cedars-Sinai Medical Center, a 795-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California, Illinois and Tennessee.

Years since qualifying
8
Trained at
Georgetown University School of Medicine
Licensed in
CA, IL, TN
In the registry since
2018
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone: (310) 423-8780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5841 S Maryland Ave # Mc5068, Chicago, IL 60637 — (773) 795-9758
  • 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 — (615) 322-3000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A196321 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 62985 (TN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 125.072192 (IL)
Clinical Informatics Physician Taxonomy 2083C0008X · Licence A196321 (CA)

Record details

NPI number1003311747
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2018
Last updated in NPPESJune 7, 2024
Certification dateJune 7, 2024
Mailing address4140 W 190th St, Torrance, CA 90504-5513

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Cedars-Sinai Medical Center — 795 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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