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

Dr. Kasey Conklin, MD

Individual provider Emergency Medicine Physician · NPI 1508396433

Dr. Kasey Conklin, MD is an Emergency Medicine in Santa Rosa, California. Qualified in 2017, 9 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
9
Licensed in
VA
In the registry since
2017
Specialties on file
2
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

401 Bicentennial Way
Santa Rosa, CA 95403-2149
Phone: (707) 393-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 34800 Bob Wilson Dr, San Diego, CA 92134-1098 — (619) 532-6400
  • 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 — (757) 612-8154

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 0101272123 (VA)
Military Health Care Provider Taxonomy 171000000X

Record details

NPI number1508396433
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2017
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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