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

Miss. Ivy L Kasallis, RN, MSN

Individual provider Registered Nurse · NPI 1689956195

Miss. Ivy L Kasallis, RN, MSN is a Certified Registered Nurse Anesthetist (CRNA) in Los Angeles, California. Qualified in 2011, 15 years ago. Practices with Socal Anesthesia Solutions Inc, a 45-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2011
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

1401 S Grand Ave
Los Angeles, CA 90015-3010
Phone: (213) 748-2411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 47 New Scotland Ave., Albany, NY 12208-3479 — (518) 262-1333

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95000114 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 669720 (CA)

Record details

NPI number1689956195
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , MSN
Sole proprietorYes
NPI enumeratedSeptember 12, 2011
Last updated in NPPESNovember 12, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Socal Anesthesia Solutions Inc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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