CASSANDRA TOM NP
NPI 1609325430
Nurse Practitioner - Family in Costa Mesa, CA

Q: What is Cassandra Tom's NPI number?

The NPI number for Cassandra Tom is 1609325430. It was assigned to this individual provider in the NPPES registry on September 21, 2016.

Q: What is Cassandra Tom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Cassandra Tom was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 September 21, 2016PECOS Enrolled

660 BAKER ST STE A102, COSTA MESA, CA 92626(714) 668-2505(714) 668-2515 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 28, 2025, Aug 11, 2023, Sep 21, 2016 (3 updates tracked since 2016).

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About Cassandra Tom Np NPPES

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

CASSANDRA TOM NP (NPI 1609325430) is an individual family provider in Costa Mesa, California, licensed in California (95004905) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Irvine.

NPPES Registry Identity

NPI1609325430

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCASSANDRA TOMCredential: NP

Location Address660 BAKER ST STE A102Costa Mesa, CA 92626-4407

Mailing AddressPo Box 2218Suisun City, CA 94585-5218 · (657) 241-3600 · Fax (657) 241-7708

Phone(714) 668-2505

Fax(714) 668-2515

Sole ProprietorNo

Enumeration DateSeptember 21, 2016

Last NPPES UpdateFebruary 26, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2026

✔ NPI 1609325430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95004905

Also ListedRegistered NurseTaxonomy 163W00000X · License 813037 (CA)

660 BAKER ST STE A102, Costa Mesa, CA 92626

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Secondary Practice Location 1

Location 14950 Barranca Pkwy Ste 104Irvine, CA 92604-8644 · Phone (949) 857-1248 · Fax (949) 559-1165

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cassandra Tom 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 Reassignments

Medicare enrollment records show Cassandra Tom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Memorialcare Medical Foundation

4.5 mi

Clinic/Center

17360 BROOKHURST ST
Fountain Valley, CA 92708

Reassigned Medicare billing, California enrollment
948 clinicians in this Medicare group

NPI 1205167350 (877) 696-3622

Coastal Family Medicine Inc

Reassigned Medicare billing, California enrollment
34 clinicians in this Medicare group

No phone listed

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

57 services53 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.

54 services50 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

20 services20 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

14 services14 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92626 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 6

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

JESSICA NICOLE SANTOS PA

Physician Assistant