Cassandra Garvin, DNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95019915 Issued in CA

Practice address

11425 El Camino Real
San Diego, CA 92130-2045

Phone

(858) 794-6363

Fax

(619) 350-3593

NPI assigned

Aug 20, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Maternal Fetal Care, P.C.

  • Obstetrics & Gynecology Physician
  • Stamford, CT
  • NPI 1144354002
  NPD (past)
• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351
  NPD (past)

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1073912614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11425 EL CAMINO REAL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302045",
            "telephone_number": "858-794-6363",
            "fax_number": "619-350-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11425 EL CAMINO REAL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302045",
            "telephone_number": "858-794-6363",
            "fax_number": "619-350-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARVIN",
        "first_name": "CASSANDRA",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Garske, BS
• Tenika Lee Garteiz, SLP
• John E Gartner, O.D.
• Allison Garver
• John J Garvie, M.D.
• Gary a Cohen MD Inc (Allergy & Asthma Prevention and Treatment Center)
• Gary a. Weissberg, M.D., Inc.
• Gary and Mary West Senior Dental Center, Inc.
• Gary D. Levinson M.D., Inc.
• Gary J. Miller Chiropractic Inc.

• Family Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.