Individual provider Active NPI

Purshotam B Kataria, M.D.

  • Psychiatry Physician
  • Corona, CA
National Provider Identifier
1073582482
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A43456 Issued in CA
Practice address
112 W Grand Blvd
Corona, CA 92882-2006
Phone
(951) 735-6000
Fax
(951) 735-6960
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A43456 CA Primary

Addresses

Primary practice location

112 W Grand Blvd
Corona, CA 92882-2006

Mailing address

112 W Grand Blvd
Corona, CA 92882-2006
Phone (951) 735-6000

Other identifiers 1

IdentifierTypeStateIssuer
00A434560MedicaidCA

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
I20080618000676 CA Practitioner - Psychiatry 1759452733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 W Grand Blvd
Corona, CA 92882-2006
Phone (951) 735-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
79.47

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Purshotam B. Kataria, Inc Psychiatry CurrentSince Dec 1, 2007 Accepting new patients

Locations

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

112 W Grand Blvd
Corona, CA 92882
Phone (714) 734-3448

2501 E Chapman Ave
Ste 403
Orange, CA 92869
Phone (714) 288-0525

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.

Hospital & facility affiliations 1

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359676800000",
    "number": "1073582482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W GRAND BLVD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928822006",
            "telephone_number": "951-735-6000",
            "fax_number": "951-735-6960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W GRAND BLVD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928822006",
            "telephone_number": "951-735-6000",
            "fax_number": "951-735-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATARIA",
        "first_name": "PURSHOTAM",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2013-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A43456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A434560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.