Individual provider Active NPI

Katherine Cajulis, NP

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1073322012
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95031116 Issued in CA
Practice address
2080 Century Park E Ste 805
Los Angeles, CA 90067-2011
Phone
(310) 277-9534
NPI assigned
Jan 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95031116 CA Primary

Addresses

Primary practice location

2080 Century Park E Ste 805
Los Angeles, CA 90067-2011

Mailing address

2080 Century Park E Ste 805
Los Angeles, CA 90067-2011

Other practice location 1

23430 Hawthorne Blvd Ste 320
Torrance, CA 90505-4778
Phone (310) 277-9534

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260223001481 CA Practitioner - Nurse Practitioner 1850872409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Array Skin Therapy a Medical CorporationGroup PAC ID 1557534278, 9 clinicians

Practice addresses (Care Compare)

2990 S Sepulveda Blvd
Suite 201
Los Angeles, CA 90064-3973
Phone (310) 477-7977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95031116CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Array Skin Therapy, a Medical Corporation CurrentSince Jan 23, 2026 Accepting new patients

Locations

2990 S Sepulveda Blvd
Ste 201
Los Angeles, CA 90064
Phone (310) 477-7977

26932 Oso Pkwy
Ste 270
Mission Viejo, CA 92691
Phone (714) 313-9668

2850 Artesia Blvd
Ste 208
Redondo Beach, CA 90278
Phone (310) 370-0371

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1073322012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 805",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E STE 805",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672011",
            "telephone_number": "310-277-9534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23430 Hawthorne Blvd Ste 320",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905054778",
            "country_code": "US",
            "telephone_number": "310-277-9534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAJULIS",
        "first_name": "KATHERINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95031116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.