Individual provider Active NPI

Cassandra Rosen Chen, WHNP

  • Women's Health Nurse Practitioner
  • San Fernando, CA
National Provider Identifier
1356960074
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
95013612 Issued in CA
Practice address
14671 Rinaldi St
San Fernando, CA 91340-4199
Phone
(818) 270-9030
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LW0102X 95013612 CA Primary

Addresses

Primary practice location

14671 Rinaldi St
San Fernando, CA 91340-4199

Mailing address

14671 Rinaldi St
San Fernando, CA 91340-4199
Phone (818) 270-9030

Other practice location 1

23823 Valencia Blvd Ste 140
Valencia, CA 91355-9516
Phone (661) 690-7590

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210728001051 CA Practitioner - Nurse Practitioner 5193128130 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Facey Medical Foundation CurrentSince Jun 27, 2022 Accepting new patients
Providence Facey Medical Foundation CurrentSince Jun 27, 2022 Accepting new patients
Providence Facey Medical Foundation Single Specialty Current Accepting new patients
El Camino Health Medical Group Single Specialty Past Accepting new patients

Locations

File 50670
Los Angeles, CA 90074

18460 Roscoe Blvd
Northridge, CA 91325
Phone (818) 734-3600

19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400

23803 McBean Pkwy
Ste 201
Valencia, CA 91355
Phone (661) 481-2400

Organizations & group practices 4

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": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1356960074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14671 RINALDI ST",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404199",
            "telephone_number": "818-270-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14671 RINALDI ST",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913404199",
            "telephone_number": "818-270-9030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23823 Valencia Blvd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913559516",
            "country_code": "US",
            "telephone_number": "661-690-7590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "CASSANDRA",
        "middle_name": "ROSEN",
        "credential": "WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95013612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

Verify at the official NPI Registry.