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KATELYN ELIZABETH-TAYLOR CASSIBBA PA-C
NPI 1790460715
Physician Assistant in Seaside, CA

Active since June 19, 2023PECOS Enrolled
1156 FREMONT BLVD, SEASIDE, CA 93955(831) 899-8100(831) 899-8105 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2025, Jun 20, 2023 (2 updates tracked since 2023).

About Katelyn Elizabeth-taylor Cassibba Pa-c NPPES

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

KATELYN ELIZABETH-TAYLOR CASSIBBA PA-C (NPI 1790460715) is an individual physician assistant in Seaside, California, licensed in California (PA62863) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790460715
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATELYN ELIZABETH-TAYLOR CASSIBBACredential: PA-C
Location Address1156 FREMONT BLVDSeaside, CA 93955-5715
Mailing Address1156 Fremont BlvdSeaside, CA 93955-5715 · (831) 899-8100
Phone(831) 899-8100
Fax(831) 899-8105
Sole ProprietorNo
Enumeration DateJune 19, 2023
Last NPPES UpdateFebruary 11, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
✔ NPI 1790460715 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 · PA62863
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.
1156 FREMONT BLVD, Seaside, CA 93955
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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)

Katelyn Elizabeth-taylor Cassibba Pa-c 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 93955 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
$94.44 typical visit price
range $61.69 – $184.30
Typical copayment $23.61 (range $15.42 – $46.07)
Most-billed visit code 99203
Established Patient
$76.53 typical visit price
range $20.34 – $151.02
Typical copayment $19.13 (range $5.08 – $37.75)
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 7

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

LANI CO NP
Nurse Practitioner (Family)
1156 FREMONT BLVD
SEASIDE, CA 93955
Monterey County (831) 899-8107
ANGELA HANSON
Registered Nurse (Community Health)
1156 FREMONT BLVD
SEASIDE, CA 93955
Monterey County (831) 899-8100
LETICIA BERONICA PEREZ GARCIA MEDICAL ASSISTANT
Nurse's Aide
1156 FREMONT BLVD
SEASIDE, CA 93955
Monterey County (831) 899-8100
COUNTY OF MONTEREY
Family Medicine
1156 FREMONT BLVD
SEASIDE, CA 93955
Monterey County (831) 899-8100
MARITZA ROMERO MEDICAL ASSISTANT
Nurse's Aide
1156 FREMONT BLVD
SEASIDE, CA 93955
Monterey County (831) 899-8100
COUNTY OF MONTEREY
Family Medicine
1156 FREMONT BLVD
SEASIDE, CA 93955
Monterey County (831) 899-8100
MS. MARIA ALEJO
Nurse's Aide
1156 FREMONT BLVD
SEASIDE, CA 93955
Monterey County (831) 899-8100

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 Katelyn Cassibba's NPI number?

The NPI number for Katelyn Cassibba is 1790460715. It was assigned to this individual provider in the NPPES registry on June 19, 2023.

Where is Katelyn Cassibba located?

Katelyn Cassibba practices at 1156 Fremont Blvd, Seaside, CA 93955. The listed phone number is (831) 899-8100.

What is Katelyn Cassibba's specialty?

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

Is Katelyn Cassibba enrolled in Medicare?

Yes. Katelyn Cassibba is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katelyn Cassibba was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.