Active NPI
Cassidy Marie Hoogeveen, PA-C
- Physician Assistant
- Riverside, CA
National Provider Identifier
1609590959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA61722
- Practice address
- 7101 Magnolia Ave
Riverside, CA 92504-3862 - Phone
- (909) 539-8412
- NPI assigned
- Sep 30, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 61722 | CA | |
| Physician Assistant | 363A00000X | PA61722 | CA | Primary |
Addresses
Primary practice location
7101 Magnolia Ave
Riverside, CA 92504-3862
Mailing address
4195 Chino Hills Pkwy # 59
Chino Hills, CA 91709-2618
Other practice location 1
1920 N Garey Ave
Pomona, CA 91767-2720
Phone (909) 622-1235
Other practice location 2
1230 E Arrow Hwy
Upland, CA 91786-4910
Phone (909) 622-1235
Other practice location 3
13609 Central Ave Ste B
Chino, CA 91710-5120
Phone (909) 627-6076
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)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA61722 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Kids, a Professional Medical Corporation | Past | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients | |
| University of California San Francisco | Past | Accepting new patients | |
| Pediatric Medical Associates of Sacramento Inc | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- Pediatrics Physician
- Newport Beach, CA
- NPI 1740311737
-
- Pediatrics Physician
- Sacramento, CA
- NPI 1760570600
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Francisco, CA
- NPI 1992818256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1609590959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4195 CHINO HILLS PKWY # 59",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917092618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7101 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925043862",
"telephone_number": "909-539-8412"
}
],
"practiceLocations": [
{
"address_1": "1920 N Garey Ave",
"address_purpose": "LOCATION",
"city": "Pomona",
"state": "CA",
"postal_code": "917672720",
"country_code": "US",
"telephone_number": "909-622-1235",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1230 E Arrow Hwy",
"address_purpose": "LOCATION",
"city": "Upland",
"state": "CA",
"postal_code": "917864910",
"country_code": "US",
"telephone_number": "909-622-1235",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13609 Central Ave Ste B",
"address_purpose": "LOCATION",
"city": "Chino",
"state": "CA",
"postal_code": "917105120",
"country_code": "US",
"telephone_number": "909-627-6076",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOOGEVEEN",
"first_name": "CASSIDY",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-30",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "61722",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA61722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.