KASSANDRA NEUENDORFF
NPI 1740872563
Physician Assistant in La Jolla, CA

Active since February 04, 2021PECOS EnrolledAccepts Medicare Assignment
9850 GENESEE AVE STE 320, LA JOLLA, CA 92037(858) 822-9218 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 25, 2025, May 27, 2025, Apr 11, 2023 and 2 more (5 updates tracked since 2021).

About Kassandra Neuendorff NPPES

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

KASSANDRA NEUENDORFF (NPI 1740872563) is an individual physician assistant in La Jolla, California, licensed in California (62622) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1740872563
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKASSANDRA NEUENDORFF
Location Address9850 GENESEE AVE STE 320La Jolla, CA 92037-1208
Mailing Address9850 Genesee Ave Ste 320La Jolla, CA 92037-1208 · (858) 822-9218
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 4, 2021
Last NPPES UpdateNovember 25, 20255 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
NPI 1740872563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 62622
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
9850 GENESEE AVE STE 320, La Jolla, CA 92037

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kassandra Neuendorff 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.

PECOS PAC ID8921463738
PECOS Enrollment IDI20240814004461
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 92037 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
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
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 20

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

Physician Assistant
9850 GENESEE AVE STE 320
LA JOLLA, CA 92037
Physician Assistant
9850 GENESEE AVE STE 320
LA JOLLA, CA 92037
Physician Assistant
9850 GENESEE AVE STE 320
LA JOLLA, CA 92037
Physician Assistant
9850 GENESEE AVE STE 320
LA JOLLA, CA 92037
Nurse Practitioner (Family)
9850 GENESEE AVE STE 320
LA JOLLA, CA 92037
Family Medicine
9850 GENESEE AVE STE 320
LA JOLLA, CA 92037
Dietitian, Registered
9850 GENESEE AVE STE 320
LA JOLLA, CA 92037
Family Medicine
9850 GENESEE AVE STE 320
LA JOLLA, CA 92037

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 Neuendorff's NPI number?

The NPI number for Kassandra Neuendorff is 1740872563. It was assigned to this individual provider in the NPPES registry on February 4, 2021.

Where is Kassandra Neuendorff located?

Kassandra Neuendorff practices at 9850 Genesee Ave Ste 320, La Jolla, CA 92037. The listed phone number is (858) 822-9218.

What is Kassandra Neuendorff's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kassandra Neuendorff enrolled in Medicare?

Yes. Kassandra Neuendorff 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.

When was this NPI record last updated?

The NPPES record for Kassandra Neuendorff was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.