Organization Active NPI

Radiant Womens Health - Palo Alto Inc

  • Gynecology Physician
  • Portola Valley, CA
National Provider Identifier
1174320022
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
RADIANT WOMENS HEALTH - PALO ALTO INC
Practice address
150 Portola Rd Ste a
Portola Valley, CA 94028-7852
Phone
(650) 585-3272
Fax
(650) 860-1830
NPI assigned
Feb 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Authorized official

Name
Dr. Jessica Kassis, MDNPI 1033394424
Title
Medical Director
Phone
(650) 504-0294

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

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

Mailing address

3749 Buchanan St # 475054
San Francisco, CA 94123-1710
Phone (650) 585-3272

National Provider Directory

National Provider Directory

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1174320022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3749 BUCHANAN ST # 475054",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941231710",
            "telephone_number": "650-585-3272",
            "fax_number": "650-860-1830"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "RADIANT WOMENS HEALTH - PALO ALTO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "KASSIS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "650-504-0294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portola Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.