Individual provider Active NPI

Neil Katchman, D.O.

  • Internal Medicine Physician
  • San Jacinto, CA
National Provider Identifier
1053366047
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A6563 Issued in CA
Practice address
229 W 7TH St
San Jacinto, CA 92583-4662
Phone
(951) 487-2550
Fax
(909) 447-5998
NPI assigned
May 24, 2006
Last updated
Jun 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 20A6563 CA
Internal Medicine Physician 207R00000X 20A6563 CA Primary

Addresses

Primary practice location

229 W 7TH St
San Jacinto, CA 92583-4662

Mailing address

11750 W Sunset Blvd Apt 418
Los Angeles, CA 90049-6905
Phone (626) 485-5884

Other identifiers 1

IdentifierTypeStateIssuer
00AX65630MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040920000520 CA Practitioner - Emergency Medicine 1153399019 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: General Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
KND Development 59 LLCGroup PAC ID 3678602802, 176 clinicians
Nagasamudra S Ashok MD IncGroup PAC ID 5890702682, 3 clinicians

Practice addresses (Care Compare)

1119 N Western Ave
Suite G
Los Angeles, CA 90029-1070
Phone (323) 957-9300

1711 W Temple St
Suite 2115
Los Angeles, CA 90026-7329
Phone (213) 315-4153

1764 Columbia Ave
Suite B
Riverside, CA 92507-2019
Phone (951) 213-6962

2224 Medical Ctr Dr
Perris, CA 92571-2638
Phone (591) 436-3535

229 W 7TH St
San Jacinto, CA 92583-4662
Phone (951) 487-2550

301 N Prairie Ave
Suite 230
Inglewood, CA 90301-4509
Phone (303) 944-0949

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20A6583CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wynk's Clinic CurrentSince Nov 1, 2025 Accepting new patients
All Home Mobile Services Inc. CurrentSince Jan 22, 2024 Accepting new patients
Can Emergency Physicians Medical Group, Inc. CurrentSince Nov 1, 2015 Accepting new patients
Can Emergency Physicians Medical Group Inc CurrentSince Nov 1, 2015 Accepting new patients
Alaga Medical Clinic Inc Internal Medicine CurrentSince May 1, 2026 Accepting new patients
New Ananda Medical and Urgent Care, Inc. Internal Medicine CurrentSince Sep 2, 2018 Accepting new patients
St. John's Urgent Care & Medical Corporation CurrentSince Nov 1, 2024 Accepting new patients
KND Development 59 LLC CurrentSince Apr 11, 2017 Accepting new patients
KND Development 59 LLC Current Accepting new patients
Allied Health Solutions Medical Group a Professional Corporation CurrentSince Jul 1, 2024 Accepting new patients
California Hospitalists Emergency Physicians Medical Group Inc CurrentSince Nov 2, 2013 Accepting new patients
Wynk's Corporation CurrentSince Nov 1, 2025 Accepting new patients
Doctors Managed Emergency Medical Group Inc. Internal Medicine CurrentSince Jul 19, 2024 Accepting new patients
KND Development 59, LLC CurrentSince Apr 11, 2017 Accepting new patients
Innovative Medical Solutions Inc a Medical Group Internal Medicine CurrentSince Dec 31, 2022 Accepting new patients
Doctor's Managed Community Health Center, Inc PastSince Mar 20, 2025 Accepting new patients
American Urgent Care Corporation PastSince Nov 1, 2024 Accepting new patients
Downey Radiology Associates Past Accepting new patients
Jse Emergency Medical Group Past Accepting new patients
KND Development 59 LLC Past Accepting new patients
HNNN Medical Corporation Past Accepting new patients

Locations

8920 Wilshire Blvd
Ste 310
Beverly Hills, CA 90211
Phone (310) 256-2426

10948 Ramona Blvd
El Monte, CA 91731
Phone (626) 579-0103

1246 W 155th St
Gardena, CA 90247
Phone (310) 323-5330

1119 N Western Ave
Ste G
Los Angeles, CA 90029
Phone (323) 957-9300

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

3756 Santa Rosalia Dr
Ste 423
Los Angeles, CA 90008
Phone (323) 294-7662

4081 E Olympic Blvd
Los Angeles, CA 90023
Phone (323) 267-0477

5525 W Slauson Ave
Los Angeles, CA 90056
Phone (310) 642-0325

4795 Holt Blvd
Ste 205
Montclair, CA 91763
Phone (714) 496-5710

2340 E 8th St
Ste B
National City, CA 91950
Phone (619) 267-8330

13222 Bloomfield Ave
Norwalk, CA 90650
Phone (562) 207-9729

550 N Monterey Ave
Ontario, CA 91764
Phone (909) 629-2290

14860 Roscoe Blvd
Ste 200
Panorama City, CA 91402
Phone (818) 830-7751

16453 Colorado Ave
Paramount, CA 90723
Phone (562) 408-7427

2224 Medical Center Dr
Perris, CA 92571
Phone (951) 436-3460

4940 El Cajon Blvd
San Diego, CA 92115
Phone (619) 543-4500

1788 S San Gabriel Blvd
Ste 101
San Gabriel, CA 91776
Phone (626) 656-6253

1806 S San Gabriel Blvd
San Gabriel, CA 91776
Phone (626) 377-0515

1901 College Ave
Santa Ana, CA 92706
Phone (714) 564-7800

1648 Tyler Ave
Ste B
South El Monte, CA 91733
Phone (626) 331-1560

14662 Newport Ave
Tustin, CA 92780
Phone (714) 619-7700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGICCD/Endpoint/AGICCD

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Maka Hospice, IncVan Nuys, CA, CCN 751675 Hospice Contracted Managing Employee Feb 19, 2025
Elka Hospice Care IncNorth Hollywood, CA, CCN 921687 Hospice Contracted Managing Employee Feb 19, 2025
Globalhealth Hospice IncReseda, CA, CCN B41717 Hospice Contracted Managing Employee
W-2 Managing Employee (100%)
Apr 15, 2024
Jul 28, 2020
Wind Breeze Hospice IncWoodland Hills, CA, CCN B31645 Hospice W-2 Managing Employee (100%) Aug 24, 2020

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 26

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 26

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1053366047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11750 W SUNSET BLVD APT 418",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900496905",
            "telephone_number": "626-485-5884",
            "fax_number": "909-447-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 W 7TH ST",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925834662",
            "telephone_number": "951-487-2550",
            "fax_number": "909-447-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATCHMAN",
        "first_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CA",
            "license": "20A6563",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A6563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX65630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jacinto, CA

Sources for this page

Verify at the official NPI Registry.