Active NPI
Cassandra J. McLaughlin, PA-C
- Physician Assistant
- San Tan Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- AZ3828
- Practice address
- 287 E. Hunt Highway
Suite 105
San Tan Valley, AZ 85143-5096 - Phone
- (480) 677-8282
- Fax
- (480) 535-0962
- NPI assigned
- May 27, 2008
- Last updated
- May 23, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | AZ3828 | AZ | Primary |
Addresses
Primary practice location
287 E. Hunt Highway
Suite 105
San Tan Valley, AZ 85143-5096
Mailing address
261 N Roosevelt Ave
Chandler, AZ 85226-2616
Phone (602) 327-6609
Other practice location 1
428 S Gilbert Rd Ste 101
Gilbert, AZ 85296-2261
Phone (480) 677-8282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 417226 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AZ3828 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Health Medical, PLLC | Current | Accepting new patients | |
| Livn, P.C. | Past | Accepting new patients | |
| Nsobi PLLC | Past | Accepting new patients |
Locations
261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888
2640 W Baseline Rd
Ste 111
Phoenix, AZ 85041
Phone 4803052888 ext. 1109
287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Chandler, AZ
- NPI 1245759307
-
- Sports Medicine (Family Medicine) Physician
- Mesa, AZ
- NPI 1912518044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1497913594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 N ROOSEVELT AVE",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852262616",
"telephone_number": "602-327-6609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "287 E. HUNT HIGHWAY",
"address_2": "SUITE 105",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851435096",
"telephone_number": "480-677-8282",
"fax_number": "480-535-0962"
}
],
"practiceLocations": [
{
"address_1": "428 S Gilbert Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852962261",
"country_code": "US",
"telephone_number": "480-677-8282",
"fax_number": "480-535-0962",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCLAUGHLIN",
"first_name": "CASSANDRA",
"middle_name": "J.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-27",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "AZ3828",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "417226",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Tan Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.