Cassandra Mae Corsaro, AGNP
Individual provider Active NPI Gerontology Nurse Practitioner · Escalon, CA
NPI 1972449320 · NPPES record last updated Apr 28, 2026
Key facts
- NPI
- 1972449320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- 827914 (CA)
- Practice address
- 1652 Jerry Ave
Escalon, CA 95320-2141 - Phone
- (904) 412-6272
- NPI assigned
- Apr 28, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 827914 | CA | MD | Gerontology Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner |
363LG0600X | 827914 | CA | Yes |
Addresses
Primary practice location
1652 Jerry Ave
Escalon, CA 95320-2141
Mailing address
1652 Jerry Ave
Escalon, CA 95320-2141
Phone (904) 412-6272
Other names
- Cassie Corsaro
Other providers in Escalon, CA
- Daniel Cardenas
- Kacey Cheary
- William S. Clark
- Michelle Coble
- Brian Joseph Cormier
- Markee Cuevas
- Bhaveer K Dhanjee
- Cathryn Rae Duncan
- L. Edward Elliott
- Escalon Community Ambulance Inc
All providers in Escalon, CA · Gerontology Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.