Individual provider Active NPI

Kallista Zasso

  • Case Manager/Care Coordinator
  • South Lake Tahoe, CA
National Provider Identifier
1235041237
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
3079 Harrison Ave Ste 12
South Lake Tahoe, CA 96150-7978
Phone
(916) 783-5207
NPI assigned
Sep 22, 2026
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X CA Primary

Addresses

Primary practice location

3079 Harrison Ave Ste 12
South Lake Tahoe, CA 96150-7978

Mailing address

3079 Harrison Ave Ste 12
South Lake Tahoe, CA 96150-7978
Phone (916) 783-5207

Other names 1

  • Luke Zasso Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1235041237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3079 HARRISON AVE STE 12",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507978",
            "telephone_number": "916-783-5207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3079 HARRISON AVE STE 12",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507978",
            "telephone_number": "916-783-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZASSO",
        "first_name": "KALLISTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUKE",
            "last_name": "ZASSO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Lake Tahoe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.