MEDICARE: CASSANDRA RENEE WILKINSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164X00000X	Licensed Vocational Nurse	742050	CA

General Provider Information

NPI Number	:	1700731643
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CASSANDRA RENEE WILKINSON

Provider Business Mailing Address
First Line	:	913 BLANCO CIR
Second Line	:
City	:	SALINAS
State	:	CA
Zip	:	93901-4401
Country	:	US
Telephone Number	:	831-424-6655
Fax Number	:	831-424-9717

Provider Business Practice Location Address
First Line	:	913 BLANCO CIR
Second Line	:
City	:	SALINAS
State	:	CA
Zip	:	93901-4401
Country	:	US
Telephone Number	:	831-424-6655
Fax Number	:	831-424-9717

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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