Healthcare Provider Details

I. General information

NPI: 1851104129
Provider Name (Legal Business Name): CASSIE SEWALD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2495 HOSPITAL DR STE 525
MOUNTAIN VIEW CA
94040-4186
US

IV. Provider business mailing address

2495 HOSPITAL DR STE 525
MOUNTAIN VIEW CA
94040-4186
US

V. Phone/Fax

Practice location:
  • Phone: 650-962-5829
  • Fax:
Mailing address:
  • Phone: 650-962-5829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95219861
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number236588
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number95037799
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: