LINA KASSAR – Psychiatric/Mental Health Nurse Practitioner, NPI 1538052097

LINA KASSAR is a healthcare provider. based in Santa monica, California. specializing in NURSE PRACTITIONER. They hold a License No. 95035315 (CA). The NPI Number for LINA KASSAR is 1538052097

Main info

Female
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
LINA KASSAR
NPI
1538052097
Phone
(626) 914-1980
Address
2118 WILSHIRE BLVD # 1015
Enumeration Date
2 June 2025
Last Update Date
4 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2025 (1 year ago)
PAC ID
8123511391
Group Practice PAC ID
7517181373
Professional Enrollment ID
I20251205000840
Address ID
CA917414291Gl510XXAVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for LINA KASSAR

  • 2118 WILSHIRE BLVD # 1015

    SANTA MONICA, CA 904035704

    Phone: (626) 914-1980

    Fax: (626) 914-1984

    Type: Mailing

  • 510 S GRAND AVE STE 200

    GLENDORA, CA 917414291

    Phone: (626) 914-1980

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251205000840INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90403)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517181373View full group profile
NameSpecialtyState
Nurse PractitionerCA
Nurse PractitionerCA
Clinical PsychologistCA
Clinical PsychologistCA
Nurse PractitionerCA
Nurse PractitionerCA
P S Y C H I A T R YCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

Can I cross-check LINA KASSAR using NPI 1538052097?
NPI 1538052097 belongs to LINA KASSAR; compare other details if you need extra assurance.
Active or inactive — what applies to LINA KASSAR?
You should see LINA KASSAR as active in CMS-hosted NPPES data.
What kind of doctor is LINA KASSAR?
LINA KASSAR is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in California is LINA KASSAR registered?
Use Santa Monica, California as the headline location for LINA KASSAR here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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