Active NPI
Jordon Cassey
- Driver
- Chula Vista, CA
National Provider Identifier
1043804560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- Y7805401
- Practice address
- 1367 Santa Diana Rd Unit 4
Chula Vista, CA 91913-2741 - Phone
- (619) 379-4295
- NPI assigned
- Feb 24, 2021
- Last updated
- Feb 24, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | Y7805401 | CA | Primary |
Addresses
Primary practice location
1367 Santa Diana Rd Unit 4
Chula Vista, CA 91913-2741
Mailing address
1367 Santa Diana Rd Unit 4
Chula Vista, CA 91913-2741
Phone (619) 379-4295
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Y7805401 | CA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1043804560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1367 SANTA DIANA RD UNIT 4",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919132741",
"telephone_number": "619-379-4295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1367 SANTA DIANA RD UNIT 4",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919132741",
"telephone_number": "619-379-4295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSEY",
"first_name": "JORDON",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-24",
"last_updated": "2021-02-24",
"certification_date": "2021-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": "Y7805401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.