Individual provider Active NPI

Cassidy Hedrick, PA

  • Physician Assistant
  • Stockton, CA
National Provider Identifier
1720944812
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA67528 Issued in CA
Practice address
1507 E March LN Ste C
Stockton, CA 95210-5625
Phone
(209) 227-5052
NPI assigned
Jan 2, 2026
Last updated
Jan 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA67528 CA Primary

Addresses

Primary practice location

1507 E March LN Ste C
Stockton, CA 95210-5625

Mailing address

1507 E March LN Ste C
Stockton, CA 95210-5625

Other practice location 1

5345 N El Dorado St Ste 12
Stockton, CA 95207-5856
Phone (209) 957-6662

Other practice location 2

437 Del Norte Ave
Yuba City, CA 95991-4113
Phone (530) 599-8703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology and Skin Cancer SpecialistsGroup PAC ID 3678702206, 20 clinicians

Practice addresses (Care Compare)

1507 E March LN
Suite C
Stockton, CA 95210-5625
Phone (209) 227-5052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA67528CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Edmund Yao MD Inc CurrentSince Jan 4, 2026 Accepting new patients
Advanced Dermatology & Skin Cancer Specialists CurrentSince Jan 1, 2014 Accepting new patients
Stuart I Jacobs MD, a Professional Corporation PastSince Feb 1, 2015 Accepting new patients

Locations

1507 E March Ln
Ste C
Stockton, CA 95210
Phone (209) 227-5052

5345 N El Dorado St
Ste 12
Stockton, CA 95207
Phone (209) 957-6662

437 Del Norte Ave
Yuba City, CA 95991
Phone (530) 443-2759

Organizations & group practices 3

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": "1767312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1720944812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 E MARCH LN STE C",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952105625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 E MARCH LN STE C",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952105625",
            "telephone_number": "209-227-5052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5345 N El Dorado St Ste 12",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952075856",
            "country_code": "US",
            "telephone_number": "209-957-6662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "437 Del Norte Ave",
            "address_purpose": "LOCATION",
            "city": "Yuba City",
            "state": "CA",
            "postal_code": "959914113",
            "country_code": "US",
            "telephone_number": "530-599-8703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDRICK",
        "first_name": "CASSIDY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-02",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA67528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.