Sana Kasumovic PLLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

SANA KASUMOVIC PLLC

Practice address

2716 Syringa LN
Caldwell, ID 83605-3052

Phone

(208) 850-5111

NPI assigned

Feb 27, 2026

Organization subpart

No

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

Authorized official

Name

Sandra Kasumovic, DMSC, MPASNPI 1780009506

Title

PA-C

Phone

(208) 850-5111

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Kasumovic, PA-C

  • Medical Physician Assistant
  • Caldwell, ID
  • NPI 1780009506
  NPD Authorized official

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

{
    "created_epoch": "1772150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1295680809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 SYRINGA LN",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836053052",
            "telephone_number": "208-477-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 SYRINGA LN",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836053052",
            "telephone_number": "208-850-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANA KASUMOVIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-27",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "KASUMOVIC",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PA-C",
        "authorized_official_telephone_number": "208-850-5111",
        "authorized_official_credential": "DMSC, MPAS"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.