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

Q: 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.

Q: What is Kasama Brand's specialty?

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

Q: 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 14 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.

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: August 16, 2026.

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

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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

Phone(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

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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 (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.

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.

JULIA GODLEY NP

Nurse Practitioner (Gerontology)