Kathie Marie Dalessandri, M.D.

Primary specialty

Research Study SpecialistTaxonomy code 1744R1102X

License

G34596 Issued in CA

Practice address

75 Second Street
Point Reyes Station, CA 94956-1173

Phone

(415) 663-1919

NPI assigned

Nov 16, 2011

Last updated

Nov 16, 2011By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1184991366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1173",
            "city": "POINT REYES STATION",
            "state": "CA",
            "postal_code": "949561173",
            "telephone_number": "415-663-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SECOND STREET",
            "city": "POINT REYES STATION",
            "state": "CA",
            "postal_code": "949561173",
            "telephone_number": "415-663-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALESSANDRI",
        "first_name": "KATHIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G34596",
            "primary": false
        },
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": "CA",
            "license": "G34596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Health Alliance (Point Reyes Medical Clinic)
• Coastal Health Alliance
• Colin Hamblin, a Professional Medical Corporation
• County of Marin
• Craig Douglas Crispin, D.D.S.
• Robyn Gay El-Bardai, MA
• Martha Jean Frankel, R.N., F.N.P., M.F.C.
• James Kimball Goetz, PSY. D.
• Basil Colin Hamblin, MD
• Randall Kenneth Dewitt Herman, M.ED.

• Research Study Specialist in Point Reyes Station, CA
• Providers in Point Reyes Station, CA by specialty
• Research Study Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.