Individual provider Active NPI

Jessica Kassis, M.D.

  • Obstetrics & Gynecology Physician
  • Portola Valley, CA
National Provider Identifier
1033394424
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A105126 Issued in CA
Practice address
150 Portola Rd Ste a
Portola Valley, CA 94028-7852
Phone
(650) 585-3272
Fax
(650) 860-1830
NPI assigned
Jan 3, 2008
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A105126 CA Primary

Addresses

Primary practice location

150 Portola Rd Ste a
Portola Valley, CA 94028-7852

Mailing address

125 Doherty Way
Redwood City, CA 94061-4113
Phone (650) 504-0294

Other practice location 1

301 Industrial Rd
San Carlos, CA 94070-2603
Phone (650) 596-4240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A105126CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiant Womens Health - Palo Alto Inc CurrentSince Mar 11, 2025 Accepting new patients

Locations

150 Portola Rd
Ste A
Portola Valley, CA 94028
Phone (650) 530-0015

3749 Buchanan St
#475054
San Francisco, CA 94123
Phone (650) 585-3272

Interoperability endpoints

  • Direct secure messaging: jessica.kassis@918265882804228.direct.elationemr.com
  • Direct secure messaging: jkassis226297@hisp.ehr.sutterhealth.org

Organizations & group practices 1

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": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1033394424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 DOHERTY WAY",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940614113",
            "telephone_number": "650-504-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PORTOLA RD STE A",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940287852",
            "telephone_number": "650-585-3272",
            "fax_number": "650-860-1830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Industrial Rd",
            "address_purpose": "LOCATION",
            "city": "San Carlos",
            "state": "CA",
            "postal_code": "940702603",
            "country_code": "US",
            "telephone_number": "650-596-4240",
            "fax_number": "650-551-7038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASSIS",
        "first_name": "JESSICA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-03",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A105126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portola Valley, CA

Sources for this page

Verify at the official NPI Registry.