Individual provider Active NPI

Katharine Carrasco, FNP

  • Family Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1104297712
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95002986 Issued in CA
Practice address
2600 Redondo Ave
Long Beach, CA 90806-2325
Phone
(562) 988-7000
NPI assigned
Oct 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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 95002986 CA Primary

Addresses

Primary practice location

2600 Redondo Ave
Long Beach, CA 90806-2325

Mailing address

2600 Redondo Ave
Long Beach, CA 90806-2325
Phone (562) 988-7000

Other practice location 1

1201 W Whittier Blvd
LA Habra, CA 90631-3610
Phone (562) 697-6030

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
I20160308001058 CA Practitioner - Nurse Practitioner 1153627732 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians

Practice addresses (Care Compare)

1011 Balwin Park Blvd
Baldwin Park, CA 91706-5806
Phone (626) 851-1011

1201 W Whittier Blvd
La Habra, CA 90631-3610
Phone (562) 697-6030

1255 W Arrow Hwy
San Dimas, CA 91773-2340
Phone (909) 394-2526

15733 Whittier Blvd
Whittier, CA 90603-2312
Phone (562) 947-7754

Hospital & facility affiliations

  • Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168
  • Kaiser Foundation Hospital - Baldwin Park Hospital, Baldwin Park, CA, CCN 050723

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95002986CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Physicians CurrentSince May 30, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince Oct 6, 2025 Accepting new patients
Bright Health Physicians of Pih CurrentSince May 30, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince Oct 6, 2025 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 30, 2016 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 30, 2016 Accepting new patients
Providence Medical Foundation CurrentSince Feb 26, 2026 Accepting new patients
Providence Medical Foundation CurrentSince Feb 26, 2026 Accepting new patients
Pih Health Physicians Current Accepting new patients
Healthcare Partners Affiliates Medical Group Current Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1201 W Whittier Blvd
La Habra, CA 90631
Phone (562) 697-6030

1400 S Harbor Blvd
La Habra, CA 90631
Phone (714) 879-3400

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

500 Alamitos Ave
Long Beach, CA 90802
Phone (310) 432-5661

2925 Palo Verde Ave
Long Beach, CA 90815
Phone (562) 421-2757

601 Torrance Blvd
#1182
Redondo Beach, CA 90277

1255 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 394-2526

15733 Whittier Blvd
Whittier, CA 90603
Phone (562) 947-7754

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1104297712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 REDONDO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062325",
            "telephone_number": "562-988-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 REDONDO AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062325",
            "telephone_number": "562-988-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 W Whittier Blvd",
            "address_purpose": "LOCATION",
            "city": "LA Habra",
            "state": "CA",
            "postal_code": "906313610",
            "country_code": "US",
            "telephone_number": "562-697-6030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRASCO",
        "first_name": "KATHARINE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.