Cathleen Cassidy

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

License

11129 Issued in CA

Practice address

18657 Brookhurst St
Fountain Valley, CA 92708-6709

Phone

(714) 968-4111

NPI assigned

May 4, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Beyond Imaging

  • Sonography Radiologic Technologist
  • Fountain Valley, CA
  • NPI 1346568144
  NPD (past) Authorized official

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1609194406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18944 MOUNT CIMARRON ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087313",
            "telephone_number": "714-746-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18657 BROOKHURST ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086709",
            "telephone_number": "714-968-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "CATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "CA",
            "license": "11129",
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "CA",
            "license": "11129",
            "primary": true
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "CA",
            "license": "11129",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARDMS",
            "identifier": "11129",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danny Carrillo
• Alicia Carroll, SLP
• Dan B. Carver, O.D.
• McKayla Justine Casalini
• Tina Louise Casoli
• David Lee Cassidy, M.D.
• Cathy A Castagna-Petersen, MS,LMFT
• Christina Marie Castaneda
• Denise Gastelum Castellanos
• Jaymee Castillo, PA-C

• Sonography Radiologic Technologist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Sonography Radiologic Technologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.