Individual provider Active NPI

Tina Cassar, NP

  • Family Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1891183695
Registry record updated Dec 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23221 Issued in CA
Practice address
4901 E Carson St
A1010
Long Beach, CA 90808-1706
Phone
(562) 938-4210
NPI assigned
Dec 31, 2014
Last updated
Dec 31, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2014

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 23221 CA Primary

Addresses

Primary practice location

4901 E Carson St
A1010
Long Beach, CA 90808-1706

Mailing address

4901 E Carson St
A1010
Long Beach, CA 90808-1706
Phone (562) 938-4210

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
I20150817000860 CA Practitioner - Nurse Practitioner 4587979810 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

250 N See Vee LN
Bishop, CA 93514-8130
Phone (760) 873-8464

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23221CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Toiyabe Indian Health Project, Inc CurrentSince Oct 15, 2018 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jul 4, 2015 Accepting new patients
Toiyabe Indian Health Project, Inc CurrentSince Oct 15, 2018 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jul 4, 2015 Accepting new patients
Long Beach Community College District Past Accepting new patients
Tri-City Hospital Past Accepting new patients

Locations

250 N See Vee Ln
Bishop, CA 93514
Phone (760) 873-8461

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

2699 Atlantic Ave
Long Beach, CA 90806
Phone (562) 426-2105

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: tina.cassar.p1@direct.toiyabe.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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1891183695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 E CARSON ST",
            "address_2": "A1010",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081706",
            "telephone_number": "562-938-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 E CARSON ST",
            "address_2": "A1010",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081706",
            "telephone_number": "562-938-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSAR",
        "first_name": "TINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-31",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.