Individual provider Active NPI

Cassie Justine Spalding-Dias, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Granite Bay, CA
National Provider Identifier
1184770695
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A97661 Issued in CA
Practice address
7150 Sierra Ponds LN
Granite Bay, CA 95746-7346
Phone
(916) 772-2990
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician 2081P0301X A97661 CA
Physical Medicine & Rehabilitation Physician 208100000X A97661 CA Primary

Addresses

Primary practice location

7150 Sierra Ponds LN
Granite Bay, CA 95746-7346

Mailing address

PO Box 960
Davis, CA 95617-0960
Phone (916) 642-9077

Other practice location 1

6600 Bruceville Rd
Sacramento, CA 95823-4671
Phone (916) 688-2036

Other names 1

  • Cassie Justine Spalding Former name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A97661CAMDBrain Injury Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cassie Spalding-Dias MD Apc Physical Medicine & Rehabilitation PastSince Jul 24, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1184770695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956170960",
            "telephone_number": "916-642-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 SIERRA PONDS LN",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957467346",
            "telephone_number": "916-772-2990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6600 Bruceville Rd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958234671",
            "country_code": "US",
            "telephone_number": "916-688-2036",
            "fax_number": "916-688-6278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPALDING-DIAS",
        "first_name": "CASSIE",
        "middle_name": "JUSTINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0301X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": "CA",
            "license": "A97661",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A97661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIE",
            "last_name": "SPALDING",
            "middle_name": "JUSTINE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Granite Bay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.