Individual provider Active NPI

Joseph Wayne Cassady, D.O.

  • General Practice Physician
  • Marysville, CA
National Provider Identifier
1679653976
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
20A5572 Issued in CA
Practice address
5730 Packard Avenue
Suite 500
Marysville, CA 95901
Phone
(530) 749-8313
Fax
(530) 749-6281
NPI assigned
Oct 17, 2006
Last updated
Jan 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A5572 CA
Addiction Medicine (Family Medicine) Physician 207QA0401X 20A5572 CA
General Practice Physician 208D00000X 20A5572 CA Primary

Addresses

Primary practice location

5730 Packard Avenue
Suite 500
Marysville, CA 95901

Mailing address

6463 Griffith Avenue
Marysville, CA 95901
Phone (530) 749-8313

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111110000124 CA Practitioner - Family Practice 5395918288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peach Tree HealthcareGroup PAC ID 7416978440, 32 clinicians

Practice addresses (Care Compare)

5730 Packard Ave
Suite 500
Marysville, CA 95901-7119
Phone 53074932421124

9980 Live Oak Blvd
Live Oak, CA 95953-2334
Phone 50374932421124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A5572CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peach Tree Healthcare General Practice Current Accepting new patients
Afato Medical Corporation Family Medicine CurrentSince Oct 30, 2015 Accepting new patients
Peach Tree Healthcare CurrentSince Feb 20, 2019 Accepting new patients
Peach Tree Healthcare Family Medicine CurrentSince Feb 20, 2019 Accepting new patients
Regency Urgent Care Medical Corp Family Medicine CurrentSince Oct 30, 2015 Accepting new patients
Rideout Memorial Hospital Past Accepting new patients

Locations

9980 Live Oak Blvd
Live Oak, CA 95953
Phone (503) 749-3242

1114 Yuba St
Rm 144
Marysville, CA 95901

1114 Yuba St
Ste 220
Marysville, CA 95901
Phone (240) 816-4358

5730 Packard Ave
Ste 500
Marysville, CA 95901
Phone (530) 741-3242

3810 Rosin Ct
Ste 100
Sacramento, CA 95834
Phone (530) 399-0217

1429 Colusa Hwy
Ste B
Yuba City, CA 95993
Phone (530) 674-7000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: joseph.cassady.p1@direct.peachtreehealth.nextgenshare.com

Organizations & group practices 6

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1679653976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6463 GRIFFITH AVENUE",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "95901",
            "telephone_number": "530-749-8313",
            "fax_number": "530-749-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 PACKARD AVENUE",
            "address_2": "SUITE 500",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "95901",
            "telephone_number": "530-749-8313",
            "fax_number": "530-749-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSADY",
        "first_name": "JOSEPH",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5572",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "20A5572",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A5572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, CA

Sources for this page

Verify at the official NPI Registry.