Kassaundra Cervantes
Kassaundra Cervantes is a Physician Assistant in San Jose, California. Qualified in 2019, 7 years ago. Practices with Somagen Healthcare Inc, a 54-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 7
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
1071 Blossom Hill RdSan Jose, CA 95123-1105
Phone: (408) 455-4010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA58054 (CA) |
|---|
Record details
| NPI number | 1013557925 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 8, 2020 |
| Last updated in NPPES | March 6, 2024 |
| Certification date | March 6, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Somagen Healthcare Inc — 54 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
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