Individual provider Active NPI

Cassidy J Forsyth

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1356802763
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA56670 Issued in CA
Practice address
1835 S la Cienega Blvd Ste 215
Los Angeles, CA 90035-4651
Phone
(310) 836-2273
NPI assigned
Mar 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA56670 CA Primary

Addresses

Primary practice location

1835 S la Cienega Blvd Ste 215
Los Angeles, CA 90035-4651

Mailing address

1203 Green Hill Ave
West Chester, PA 19380-3957
Phone (484) 354-3244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
56670CAMDPeriodontist
PA56670CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alfred Lavi, D.O. Professional Corporation Past Accepting new patients
Orthopaedic Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cforsyth1030558@direct.uclahealth.org

Organizations & group practices 2

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": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1356802763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 GREEN HILL AVE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193803957",
            "telephone_number": "484-354-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 S LA CIENEGA BLVD STE 215",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900354651",
            "telephone_number": "310-836-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSYTH",
        "first_name": "CASSIDY",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA56670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.