Individual provider Active NPI

Pamela McDonald, W.H.N.P., A.N.P.

  • Women's Health Nurse Practitioner
  • Danville, CA
National Provider Identifier
1255311809
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
521631 Issued in CA
Practice address
4165 Blackhawk Plaza Cir
# 100
Danville, CA 94506-4904
Phone
(925) 736-7070
Fax
(925) 736-7075
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 521631 CA Primary

Addresses

Primary practice location

4165 Blackhawk Plaza Cir
# 100
Danville, CA 94506-4904

Mailing address

4165 Blackhawk Plaza Cir
# 100
Danville, CA 94506-4904
Phone (925) 736-7070

Other names 1

  • Pamela Cassidy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414000751 CA Practitioner - Nurse Practitioner 8729072400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4165 Blackhawk Plaza Cir
Suite 125
Danville, CA 94506-4681
Phone (925) 736-8510

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
521631CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Penscott Medical Corporation CurrentSince May 1, 2003 Accepting new patients

Locations

4165 Blackhawk Plaza Cir
Ste 125
Danville, CA 94506
Phone (925) 736-7881

4165 Blackhawk Plaza Cir
Ste 250
Danville, CA 94506
Phone (925) 736-2663

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1255311809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4165 BLACKHAWK PLAZA CIR",
            "address_2": "# 100",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064904",
            "telephone_number": "925-736-7070",
            "fax_number": "925-736-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4165 BLACKHAWK PLAZA CIR",
            "address_2": "# 100",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064904",
            "telephone_number": "925-736-7070",
            "fax_number": "925-736-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "PAMELA",
        "credential": "W.H.N.P., A.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "521631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "CASSIDY",
            "credential": "W.H.N.P., A.N.P.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Danville, CA

Sources for this page

Verify at the official NPI Registry.