Individual Healthcare Provider
Casey Distaso, MD
Provider's NPPES record last updated: June 7, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1003311747
- Primary Specialty
- Emergency Medicine
- Practice Location
- West Hollywood, California
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 11:17 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Emergency Medicine
Allopathic & Osteopathic Physicians
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Taxonomy code 207P00000X Preventive Medicine
Clinical Informatics
Allopathic & Osteopathic Physicians
Physicians who practice Clinical Informatics collaborate with other health care and information technology professionals to analyze, design, implement and evaluate information and communication systems that enhance individual and population health outcomes, improve patient care, and strengthen the clinician-patient relationship. Clinical Informaticians use their knowledge of patient care combined with their understanding of informatics concepts, methods, and tools to: assess information and knowledge needs of health care professionals and patients; characterize, evaluate, and refine clinical processes; develop, implement, and refine clinical decision support systems; and lead or participate in the procurement, customization, development, implementation, management, evaluation, and continuous improvement of clinical information systems.
Taxonomy code 2083C0008X
Provider-Reported License Information
- Emergency Medicine (California)
- A196321
- Emergency Medicine (Tennessee)
- 62985
- Emergency Medicine (Illinois)
- 125.072192
- Preventive Medicine (California)
- A196321
Practice Locations
Practice Location
8700 Beverly Blvd
West Hollywood, California 90048-1804
Phone: (310) 423-8780
Additional Practice Location
3601 the Vanderbilt Clinic
Nashville, Tennessee 37232-0001
Phone: (615) 322-3000
Additional Practice Location
5841 S Maryland Ave # Mc5068
Chicago, Illinois 60637
Phone: (773) 795-9758
Record Information
- Enumeration Date
- March 26, 2018
- Provider's NPPES Record Last Updated
- June 7, 2024
- Certification Date
- June 7, 2024
- NPISignal NPPES Dataset
- August 2026
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