Individual provider Active NPI

Cassidy Marie Hoogeveen, PA-C

  • Physician Assistant
  • Riverside, CA
National Provider Identifier
1609590959
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61722 Issued in CA
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

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PA61722CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.