Active NPI
Cassandra Taylor
- Family Nurse Practitioner
- Pleasanton, CA
National Provider Identifier
1326478496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP95016691
- Practice address
- 5674 Stoneridge Dr
Suite 207
Pleasanton, CA 94588-8500 - Phone
- (925) 520-0005
- NPI assigned
- Nov 26, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN723218 | CA | |
| Family Nurse Practitioner | 363LF0000X | NP95016691 | CA | Primary |
Addresses
Primary practice location
5674 Stoneridge Dr
Suite 207
Pleasanton, CA 94588-8500
Mailing address
5674 Stoneridge Dr
Suite 207
Pleasanton, CA 94588-8500
Phone (925) 520-0005
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
100 Grand Ave Apt
Suite 1504
Oakland, CA 94612-3086
710 S Broadway
Suite 212
Walnut Creek, CA 94596-5219
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN723218 | CA | MD | Registered Nurse |
| NP95016691 | CA | MD | Family Nurse Practitioner |
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.
-
- Multi-Specialty Clinic/Center
- Walnut Creek, CA
- NPI 1386107928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1326478496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5674 STONERIDGE DR",
"address_2": "SUITE 207",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945888500",
"telephone_number": "925-520-0005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5674 STONERIDGE DR",
"address_2": "SUITE 207",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945888500",
"telephone_number": "925-520-0005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "CASSANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-26",
"last_updated": "2021-07-22",
"certification_date": "2021-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN723218",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP95016691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.