Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clarissa Kaoussarani, PA

Individual provider Physician Assistant · NPI 1124896311

Clarissa Kaoussarani, PA is a Physician Assistant in Santa Maria, California. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1075 E Betteravia Rd Ste 201
Santa Maria, CA 93454-7023
Phone: (805) 621-7644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1717 Biddle St, Saint Louis, MO 63106-3454 — (314) 814-8700

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1124896311
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 18, 2023
Last updated in NPPESDecember 18, 2023
Certification dateDecember 17, 2023

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