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CASSANDRA BLACKWELL P.A.
NPI 1265476964
Physician Assistant in Tuolumne, CA

Active since June 15, 2006
18880 CHERRY VALLEY BLVD., TUOLUMNE, CA 95379(209) 928-5400(209) 928-5412 Get Directions Write a Review

NPPES record last updated: April 23, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cassandra Blackwell P.a. NPPES

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

CASSANDRA BLACKWELL P.A. (NPI 1265476964) is an individual physician assistant in Tuolumne, California, licensed in California (PA15883) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1265476964
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCASSANDRA BLACKWELLCredential: P.A.
Location Address18880 CHERRY VALLEY BLVD.Tuolumne, CA 95379
Mailing Address18880 Cherry Valley Blvd.Tuolumne, CA 95379 · (209) 928-5400 · Fax (209) 928-5412
Phone(209) 928-5400
Fax(209) 928-5412
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateApril 23, 2008
✔ NPI 1265476964 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 · PA15883
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.
18880 CHERRY VALLEY BLVD., Tuolumne, CA 95379
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Other Identifiers 5

Medicare PIN0PA158831CA
OtherPA15883CA · State License
Medicare ID-Type UnspecifiedE92041
Medicare UPINP37404CA
MedicaidTHP71070FCA

Other Providers at the Same Location NPPES

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

TUOLUMNE ME-WUK INDIAN HEALTH CENTER
Pharmacy (Community/Retail Pharmacy)
18880 CHERRY VALLEY BLVD.
TUOLUMNE, CA 95379
Tuolumne County (209) 928-5400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cassandra Blackwell's NPI number?

The NPI number for Cassandra Blackwell is 1265476964. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Cassandra Blackwell located?

Cassandra Blackwell practices at 18880 Cherry Valley Blvd., Tuolumne, CA 95379. The listed phone number is (209) 928-5400.

What is Cassandra Blackwell's specialty?

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

When was this NPI record last updated?

The NPPES record for Cassandra Blackwell was last updated on April 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.