KASSANDRA VICTORIA MALDONADO LMFT
NPI 1487391330
Marriage & Family Therapist in Placerville, CA
About Kassandra Victoria Maldonado Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KASSANDRA VICTORIA MALDONADO LMFT (NPI 1487391330) is an individual marriage & family therapist in Placerville, California, licensed in California (158692) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kassandra Victoria Maldonado Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kassandra Maldonado reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 45 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kassandra Maldonado's NPI number?
The NPI number for Kassandra Maldonado is 1487391330. It was assigned to this individual provider in the NPPES registry on May 12, 2022.
Where is Kassandra Maldonado located?
Kassandra Maldonado practices at PO Box 628, Placerville, CA 95667. The listed phone number is (951) 492-1893.
What is Kassandra Maldonado's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Kassandra Maldonado enrolled in Medicare?
Yes. Kassandra Maldonado is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kassandra Maldonado's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kassandra Maldonado reassigns Medicare benefits to Shine Medical Of Ca PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kassandra Maldonado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kassandra Maldonado was last updated on July 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Kassandra Victoria Maldonado, LMFT · NPI 1487391330
Marriage & Family Therapist provider in Placerville, California. Individual provider, active in the CMS NPPES registry since May 12, 2022.
## Identity
- **NPI:** 1487391330 (Entity type: Individual)
- **Enumerated:** May 12, 2022
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 158692 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** PO BOX 628, Placerville, CA 95667-0628
- **Phone:** (951) 492-1893
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Shine Medical Of Ca PC (NPI 1942935473, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** July 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1487391330) · Data from the CMS NPPES public registry.