Individual provider Active NPI

Cassandra Ohlsen, MD

  • Internal Medicine Physician
  • Pacific Grove, CA
National Provider Identifier
1356457170
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G56448 Issued in CA
Practice address
154 14TH St
Pacific Grove, CA 93950-2725
Phone
(831) 277-2220
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G56448 CA Primary

Addresses

Primary practice location

154 14TH St
Pacific Grove, CA 93950-2725

Mailing address

PO Box 51520
Pacific Grove, CA 93950-6520
Phone (831) 277-2220

Other identifiers 2

IdentifierTypeStateIssuer
00G564480OtherCABLUE CROSS BLUE SHIELD
G564480OtherCASTATE OF CA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040326001227 CA Practitioner - Internal Medicine 1254223936

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
23.66 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Monterey Hospitalist Medical Group Internal Medicine Past Accepting new patients
Sohrab Gollogly MD PC Past Accepting new patients
Parasol Dermatology Inc PastSince Feb 24, 2022 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1356457170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51520",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939506520",
            "telephone_number": "831-277-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 14TH ST",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939502725",
            "telephone_number": "831-277-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHLSEN",
        "first_name": "CASSANDRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G56448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00G564480",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CA",
            "identifier": "G564480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific Grove, CA

Sources for this page

Verify at the official NPI Registry.