Cassandra Altamirano, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5795 Issued in AZ

Practice address

16251 N Cave Creek Rd
Phoenix, AZ 85032-2976

Phone

(480) 882-4545

Fax

(602) 992-1953

NPI assigned

Dec 11, 2014

Last updated

Dec 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Cassandra Andrade Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: caltamirano607509@direct.ochin.org
• Direct secure messaging: caltamirano69869@direct.valleywisehealth.org

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.

• Maricopa County Special Health Care District

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  • NPI 1073576740

  Multi-Specialty

  Medicare reassignment NPD
• Neighborhood Outreach Access to Health

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  • NPI 1942518550

  Multi-Specialty

  Medicare reassignment NPD
• District Medical Group, Inc

  • Anatomic Pathology & Clinical Pathology Physician
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  • NPI 1336472448
  Medicare reassignment
• Duo Health of Arizona LLC

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  • Chicago, IL
  • NPI 1730816703

  AZ

  Medicare reassignment
• District Medical Group, Inc

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1144624339

  Multi-Specialty

  NPD
• District Medical Group, Inc

  • Diagnostic Radiology Physician
  • Phoenix, AZ
  • NPI 1568795532

  Multi-Specialty

  NPD
• Maricopa County Special Health Care District

  dba Valleywise CHC - Mesa Behavioral Health Specialty Clinic

  • Adult Mental Health Clinic/Center
  • Mesa, AZ
  • NPI 1104331115
  NPD
• Maricopa County Special Health Care District

  dba Maricopa Integrated Heatlh

  • Federally Qualified Health Center (FQHC)
  • Mesa, AZ
  • NPI 1306265145
  NPD
• Neighborhood Outreach Access to Health

  dba Copperwood II Health Center

  • Federally Qualified Health Center (FQHC)
  • Glendale, AZ
  • NPI 1326731555
  NPD
• District Medical Group, Inc

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1295968162

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1942608690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 N DREAMY DRAW DR STE 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204668",
            "telephone_number": "480-882-4545",
            "fax_number": "480-882-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16251 N CAVE CREEK RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322976",
            "telephone_number": "480-882-4545",
            "fax_number": "602-992-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTAMIRANO",
        "first_name": "CASSANDRA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5795",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5795",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "973326",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "ANDRADE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alta Medical Clinic Inc of Arizona
• Amal Altaf, MD
• Misbah W. Altaf, MD
• Altalume Az, PC
• Tabarak Altameemi, RPH
• Dyanne Giselle Altamirano
• Robert Altamura, DO
• Stephanie Altamura, D.O.
• Bilge Nur Altay, MD
• Altegra Health Connections, LLC

• Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.