Individual provider Active NPI

Cynthia Tinnah Katasi, RN

  • Registered Nurse
  • Rancho Cordova, CA
National Provider Identifier
1194675330
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95362126 Issued in CA
Practice address
11957 Cobblebrook Dr
Rancho Cordova, CA 95742-6939
Phone
(661) 212-5670
NPI assigned
Jan 28, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 95362126 CA Primary

Addresses

Primary practice location

11957 Cobblebrook Dr
Rancho Cordova, CA 95742-6939

Mailing address

11957 Cobblebrook Dr
Rancho Cordova, CA 95742-6939
Phone (661) 212-5670

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95362126CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1769558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1194675330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11957 COBBLEBROOK DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957426939",
            "telephone_number": "661-212-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11957 COBBLEBROOK DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "957426939",
            "telephone_number": "661-212-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATASI",
        "first_name": "CYNTHIA",
        "middle_name": "TINNAH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-28",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95362126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.