Katie Lynn Richardson, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA60727 Issued in CA

Practice address

21250 Hawthorne Blvd Ste 430
Torrance, CA 90503-5511

Phone

(310) 326-3066

Fax

(310) 326-3068

NPI assigned

May 9, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

• R&R Surgical Institute

  • Ambulatory Surgical Clinic/Center
  • Torrance, CA
  • NPI 1154839678
  Medicare reassignment
• Ramin M. Roohipour, MD, Inc

  • Medical Specialty Clinic/Center
  • Torrance, CA
  • NPI 1538562343
  Medicare reassignment
• Torrance Surgical Alliance, Inc

  • Surgery Physician
  • Torrance, CA
  • NPI 1174060768
  Medicare reassignment

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1073259479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15507 S NORMANDIE AVE # 231",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474028",
            "telephone_number": "714-292-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21250 HAWTHORNE BLVD STE 430",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035511",
            "telephone_number": "310-326-3066",
            "fax_number": "310-326-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KATIE",
        "middle_name": "LYNN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA60727",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA60727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Richards, LCSW
• Tamie Richards, P.T.
• Chelsea Richardson
• Jennifer Richardson, MA, CCC-SLP
• Kamasha Richardson, PMHNP-BC
• Kimberly Jaynette Richardson, MD
• Melissa Ann Richardson
• Terri Richardson
• Donna A Richey, MD
• Iman Connimie Richie, MD

• Surgical Physician Assistant in Torrance, CA
• Providers in Torrance, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.