Cassandra Renee Zgliczynski, RN,PHN

Primary specialty

Maternal Newborn Registered NurseTaxonomy code 163WM0102X

License

770296 Issued in CA

Practice address

1029 Emerald St Apt C
San Diego, CA 92109-2816

Phone

(619) 952-1918

NPI assigned

Nov 15, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Cassandra Renee Joseph Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1972880144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 OCEAN RANCH BLVD",
            "address_2": "SUITE 104",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92056",
            "telephone_number": "760-967-4401",
            "fax_number": "760-967-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 EMERALD ST APT C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092816",
            "telephone_number": "619-952-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZGLICZYNSKI",
        "first_name": "CASSANDRA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "RN,PHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "CA",
            "license": "770296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "JOSEPH",
            "middle_name": "RENEE",
            "credential": "RN,PHN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erika Maria Zettner, AU.D.
• Matthew Robert Zetumer, M.D.
• Kimberly Rae Zevin, DPT
• Zeynep Barakat DMD, Inc.
• Steven Ronald Zezima
• Emily Zgoda
• Yihua Zhai, CRNA
• Yan Zhan, M.D.
• Aiwei Zhang
• Christine Zhang

• Maternal Newborn Registered Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Maternal Newborn Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.