Active NPI
Jessica Kassis, M.D.
- Obstetrics & Gynecology Physician
- Portola Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A105126
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A105126 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiant Womens Health - Palo Alto Inc | Current | 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
- jessica.kassis@918265882804228.direct.elationemr.com
- 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.
-
- Gynecology Physician
- Portola Valley, CA
- NPI 1174320022
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
- Haley Morgan Roberson Issichopoulos, MSM, PA-C
- Wilfred Edward Jaeger, M.D.
- Nile Kiyoto Jones, RN
- Courtney Blaire Jonson, L.AC.
- Daniel Aaron Kaplan, RN
- Ann Therese Kearney, MA
- Kerry Dean Kravitz, M.D.
- Krista Regedanz, PHD, a Psychological Organization (Palo Alto Smart Therapy)
- Richard Horton Laude, M.D.
- Jamie Leach, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.