Individual provider Active NPI

Cassandra Pedraza

  • Family Nurse Practitioner
  • South El Monte, CA
National Provider Identifier
1679178297
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95072933 Issued in CA
Practice address
1701 Santa Anita Ave
South El Monte, CA 91733-3411
Phone
(626) 579-7777
NPI assigned
Dec 1, 2020
Last updated
Nov 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95072933 CA Primary

Addresses

Primary practice location

1701 Santa Anita Ave
South El Monte, CA 91733-3411

Mailing address

1701 Santa Anita Ave
South El Monte, CA 91733-3411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210915003739 CA Practitioner - Nurse Practitioner 6406253509 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singh MD a Professional MedicalGroup PAC ID 8426584988, 18 clinicians

Practice addresses (Care Compare)

820 E Mountain View St
Barstow, CA 92311-3004
Phone (858) 863-7382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95072933CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Singh MD a Professional Medical CurrentSince Dec 1, 2024 Accepting new patients
Premier Health Partners CurrentSince Feb 25, 2024 Accepting new patients
Ashok Amin M D Inc CurrentSince Mar 1, 2022 Accepting new patients
Southland Emergency Medical Associates Inc CurrentSince Oct 1, 2022 Accepting new patients

Locations

1711 W Romneya Dr
Anaheim, CA 92801
Phone (714) 484-1200

820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761

250 N 1st St
Blythe, CA 92225
Phone (760) 321-5123

5189 Hospital Rd
Mariposa, CA 95338
Phone (209) 966-3631

9449 San Fernando Rd
Sun Valley, CA 91352
Phone (818) 252-2184

16850 Bear Valley Rd
Victorville, CA 92395

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1679178297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SANTA ANITA AVE",
            "city": "SOUTH EL MONTE",
            "state": "CA",
            "postal_code": "917333411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SANTA ANITA AVE",
            "city": "SOUTH EL MONTE",
            "state": "CA",
            "postal_code": "917333411",
            "telephone_number": "626-579-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDRAZA",
        "first_name": "CASSANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95072933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South El Monte, CA

Sources for this page

Verify at the official NPI Registry.