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

MS. Cassandra Sysouvanh

Individual provider Community Health Worker · NPI 1902458508

MS. Cassandra Sysouvanh is a Community Health Worker in Stockton, California. Practices as a sole proprietor and works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

4545 Georgetown Pl
Stockton, CA 95207-6215
Phone: (209) 639-4685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7224 S Recovery Rd, French Camp, CA 95231-8901 — (209) 888-6595
  • 7236 S Recovery Rd, French Camp, CA 95231-8901 — (209) 888-6595

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X (CA)
Community Health Worker Taxonomy 172V00000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1902458508
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 12, 2019
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025
Mailing addressPo Box 135, Stockton, CA 95201-0135

Other providers in Stockton