Candace Kasperick

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

499304 Issued in CA

Practice address

4350 Mount Everest Blvd # B12
San Diego, CA 92117-4847

Phone

(858) 627-7590

NPI assigned

Sep 9, 2021

Last updated

Sep 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1154090405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7189",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921670189",
            "telephone_number": "858-395-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 MOUNT EVEREST BLVD # B12",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174847",
            "telephone_number": "858-627-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPERICK",
        "first_name": "CANDACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "499304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafid Kasir, MD
• Reza Kasiri, DDS
• Jessica Kasl, RBT
• Mary Kirsten Kasner
• Natasha Kasozi
• Kylie Kasprick, DPT
• Keemia Kasravi
• Paul Cyrus Kasrazadeh
• Alana K Kass, MA-CCC-SLP
• Gabriela Kass, LPCC

• School Registered Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• School Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.