Active NPI
Catherine C Thaxter, P.A.-C
- Physician Assistant
- Fresno, CA
National Provider Identifier
1073502449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA18013
- Practice address
- 2823 Fresno St
Fresno, CA 93721-1324 - Phone
- (559) 459-6000
- NPI assigned
- Oct 19, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA18013 | CA | Primary |
Addresses
Primary practice location
2823 Fresno St
Fresno, CA 93721-1324
Mailing address
1250 W Moraga Rd
Fresno, CA 93711-0520
Phone (559) 432-4556
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0201103 | Other | CA | STATE OF WASHINGTON |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA18013 | CA | MD | Physician Assistant |
Interoperability endpoints
- catherine.birchall.p1@direct.spocortho.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443744000000",
"number": "1073502449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 W MORAGA RD",
"city": "FRESNO",
"state": "CA",
"postal_code": "937110520",
"telephone_number": "559-432-4556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2823 FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937211324",
"telephone_number": "559-459-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAXTER",
"first_name": "CATHERINE",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-19",
"last_updated": "2015-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA18013",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WASHINGTON",
"identifier": "0201103",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.