CYNTHIA CASLEY STURDIVANT M.D.
NPI 1710187976
Specialist in Modesto, CA
About Cynthia Casley Sturdivant M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CYNTHIA CASLEY STURDIVANT M.D. (NPI 1710187976) is an individual specialist in Modesto, California, licensed in California (A100017) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Cynthia Casley Sturdivant M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Cynthia Sturdivant reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Lansdowne, VA 20176
- Reassigned Medicare billing, Virginia, District of Columbia and Maryland enrollments
- Also billed through NPI 1831471713 (District of Columbia), NPI 1497023188 (District of Columbia), NPI 1073678637 (District of Columbia), NPI 1114677572 (Virginia), NPI 1578638425 (District of Columbia), NPI 1366781700 (District of Columbia), NPI 1457023616 (Maryland), NPI 1467114207 (Maryland), NPI 1942546486 (Maryland)
- 995 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MODESTO, CA 95356
MODESTO, CA 95356
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 Cynthia Sturdivant's NPI number?
The NPI number for Cynthia Sturdivant is 1710187976. It was assigned to this individual provider in the NPPES registry on July 24, 2007. The provider is also known as Cynthia Casley Breed MD.
Where is Cynthia Sturdivant located?
Cynthia Sturdivant practices at 4601 Dale Rd Anesthesia Office 2nd Floor, Modesto, CA 95356. The listed phone number is (209) 366-4175.
What is Cynthia Sturdivant's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Cynthia Sturdivant enrolled in Medicare?
Yes. Cynthia Sturdivant is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Cynthia Sturdivant's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cynthia Sturdivant reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Stockton, CA) and Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Lansdowne, VA). Each 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 Cynthia Sturdivant'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 Cynthia Sturdivant was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Cynthia Casley Sturdivant, M.D. · NPI 1710187976
Specialist provider in Modesto, California. Individual provider, active in the CMS NPPES registry since July 24, 2007.
## Identity
- **NPI:** 1710187976 (Entity type: Individual)
- **Enumerated:** July 24, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **State license:** A100017 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4601 DALE RD, ANESTHESIA OFFICE 2ND FLOOR, Modesto, CA 95356-9718
- **Phone:** (209) 366-4175
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Permanente Medical Group Inc (NPI 1548343510, Stockton, CA); Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1225156367, Lansdowne, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** January 10, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1710187976) · Data from the CMS NPPES public registry.