Active NPI
Andrew Cassidenti, M.D.
- Specialist
- Orange, CA
National Provider Identifier
1386657039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G55330
- Practice address
- 1140 W la Veta Ave Ste 560
Orange, CA 92868-4214 - Phone
- (714) 835-0101
- Fax
- (714) 835-1133
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G55330 | CA | Primary |
Addresses
Primary practice location
1140 W la Veta Ave Ste 560
Orange, CA 92868-4214
Mailing address
43 Laguna Woods Dr
Laguna Niguel, CA 92677-2829
Phone (949) 683-7899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G55330 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584403200000",
"number": "1386657039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 LAGUNA WOODS DR",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926772829",
"telephone_number": "949-683-7899",
"fax_number": "661-326-2138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 W LA VETA AVE STE 560",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684214",
"telephone_number": "714-835-0101",
"fax_number": "714-835-1133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSIDENTI",
"first_name": "ANDREW",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G55330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.