KASAMA BRAND NP
NPI 1578305165
Nurse Practitioner - Gerontology in San Marcos, CA

Active since June 12, 2024PECOS Enrolled
1706 DESCANSO AVE, SAN MARCOS, CA 92078(760) 280-2230 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 19, 2025, Sep 3, 2024, Jun 26, 2024 and 1 more (4 updates tracked since 2024).

About Kasama Brand Np NPPES

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

KASAMA BRAND NP (NPI 1578305165) is an individual gerontology provider in San Marcos, California, licensed in California (95030595) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578305165
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKASAMA BRANDCredential: NP
Location Address1706 DESCANSO AVESan Marcos, CA 92078-2514
Mailing Address1706 Descanso AveSan Marcos, CA 92078-2514 · (760) 280-2230
Sole ProprietorNo
Enumeration DateJune 12, 2024
Last NPPES UpdateJune 19, 20254 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
✔ NPI 1578305165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in CA · 95030595
1706 DESCANSO AVE, San Marcos, CA 92078

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kasama Brand Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kasama Brand reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
27349 JEFFERSON AVE STE 100
Temecula, CA 92590
  • Reassigned Medicare billing, California enrollment
  • 5 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92078 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Gerontology)
1706 DESCANSO AVE
SAN MARCOS, CA 92078
Physician Assistant
1706 DESCANSO AVE
SAN MARCOS, CA 92078
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
1706 DESCANSO AVE
SAN MARCOS, CA 92078
Nurse Practitioner
1706 DESCANSO AVE
SAN MARCOS, CA 92078
Physician Assistant (Medical)
1706 DESCANSO AVE
SAN MARCOS, CA 92078
Family Medicine
1706 DESCANSO AVE
SAN MARCOS, CA 92078
Dietitian, Registered
1706 DESCANSO AVE
SAN MARCOS, CA 92078
Nurse Practitioner (Family)
1706 DESCANSO AVE
SAN MARCOS, CA 92078

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 Kasama Brand's NPI number?

The NPI number for Kasama Brand is 1578305165. It was assigned to this individual provider in the NPPES registry on June 12, 2024.

Where is Kasama Brand located?

Kasama Brand practices at 1706 Descanso Ave, San Marcos, CA 92078. The listed phone number is (760) 280-2230.

What is Kasama Brand's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Kasama Brand enrolled in Medicare?

Yes. Kasama Brand is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kasama Brand's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kasama Brand reassigns Medicare benefits to Agm Medical Group, P.C. (Temecula, 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 Kasama Brand'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 Kasama Brand was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.