KASSAUNDRA CERVANTES
NPI 1013557925
Physician Assistant in San Jose, CA

Q: What is Kassaundra Cervantes's NPI number?

The NPI number for Kassaundra Cervantes is 1013557925. It was assigned to this individual provider in the NPPES registry on January 8, 2020.

Q: What is Kassaundra Cervantes's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since January 08, 2020PECOS EnrolledAccepts Medicare Assignment

1071 BLOSSOM HILL RD, SAN JOSE, CA 95123(408) 455-4010 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2024, May 5, 2023, Aug 12, 2020 and 1 more (4 updates tracked since 2020).

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About Kassaundra Cervantes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KASSAUNDRA CERVANTES (NPI 1013557925) is an individual physician assistant in San Jose, California, licensed in California (PA58054) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1013557925

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKASSAUNDRA CERVANTES

Location Address1071 BLOSSOM HILL RDSan Jose, CA 95123-1105

Mailing Address325 Distel CirLos Altos, CA 94022-1408

Phone(408) 455-4010

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 8, 2020

Last NPPES UpdateMarch 6, 20244 updates tracked since enumeration

NPPES CertifiedMarch 6, 2024

✔ NPI 1013557925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA58054

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1071 BLOSSOM HILL RD, San Jose, CA 95123

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kassaundra Cervantes is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931527108

PECOS Enrollment IDI20200921001264

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

14 services14 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAN HUYNH PA-C

Physician Assistant