NPIMap

Individual provider Active NPI

Cassandra Dorame

  • Medical Physician Assistant
  • Chandler, AZ
National Provider Identifier
1023415726
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5940 Issued in AZ
Practice address
1050 E Ray Rd Ste 4a
Chandler, AZ 85225-1777
Phone
(480) 659-2000
Fax
(480) 659-3201
NPI assigned
Nov 24, 2014
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5940 AZ Primary

Addresses

Primary practice location

1050 E Ray Rd Ste 4a
Chandler, AZ 85225-1777

Mailing address

1050 E Ray Rd Ste 4a
Chandler, AZ 85225-1777
Phone (480) 659-2000

Other practice location 1

4049 E Williams Field Rd Ste 101
Gilbert, AZ 85295-3217
Phone (480) 597-9497

Other practice location 2

37584 N Gantzel Rd Ste 105
Queen Creek, AZ 85140-7547
Phone (480) 257-3177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150203000445 AZ Practitioner - Physician Assistant 1456676006 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifequest Physical Medicine and RehabGroup PAC ID 7416264536, 5 clinicians
QC Combs 2 LLCGroup PAC ID 9133666597, 5 clinicians

Practice addresses (Care Compare)

1050 E Ray Rd
Suite 4a
Chandler, AZ 85225-1777
Phone (480) 659-2000

37584 N Gantzel Rd
Suite 105
Queen Creek, AZ 85140-7547
Phone (480) 257-3157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5940AZMDMedical Physician Assistant

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1023415726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 E RAY RD STE 4A",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852251777",
            "telephone_number": "480-659-2000",
            "fax_number": "480-659-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E RAY RD STE 4A",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852251777",
            "telephone_number": "480-659-2000",
            "fax_number": "480-659-3201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4049 E Williams Field Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852953217",
            "country_code": "US",
            "telephone_number": "480-597-9497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37584 N Gantzel Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851407547",
            "country_code": "US",
            "telephone_number": "480-257-3177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORAME",
        "first_name": "CASSANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.