Active NPI
Cassandra Camise, PA-C
- Physician Assistant
- San Diego, CA
National Provider Identifier
1275912917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 52432
- Practice address
- 6195 Lusk Blvd Ste 250
San Diego, CA 92121-3715 - Phone
- (619) 882-4886
- NPI assigned
- May 27, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 52432 | CA | Primary |
Addresses
Primary practice location
6195 Lusk Blvd Ste 250
San Diego, CA 92121-3715
Mailing address
6195 Lusk Blvd Ste 250
San Diego, CA 92121-3715
Phone (619) 882-4886
Other practice location 1
4171 Oceanside Blvd
Oceanside, CA 92056-6023
Phone (760) 216-6253
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52432 | CA | MD | Dentist |
Interoperability endpoints
- cassandra.camise.1@23831.direct.athenahealth.com
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.
-
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- La Jolla, CA
- NPI 1396986667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1275912917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6195 LUSK BLVD STE 250",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213715",
"telephone_number": "619-882-4886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6195 LUSK BLVD STE 250",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213715",
"telephone_number": "619-882-4886"
}
],
"practiceLocations": [
{
"address_1": "4171 Oceanside Blvd",
"address_purpose": "LOCATION",
"city": "Oceanside",
"state": "CA",
"postal_code": "920566023",
"country_code": "US",
"telephone_number": "760-216-6253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMISE",
"first_name": "CASSANDRA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-27",
"last_updated": "2023-09-19",
"certification_date": "2023-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "52432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.