Individual provider Active NPI

Katherine Macauley Ligtenberg Given, MD, PHD

  • Dermatology Physician
  • Santa Rosa, CA
National Provider Identifier
1124476296
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A167878 Issued in CA
Practice address
6574 Oakmont Dr Ste B
Santa Rosa, CA 95409-5958
Phone
(707) 579-4239
Fax
(707) 579-0459
NPI assigned
May 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125068796 IL
Dermatology Physician 207N00000X A167878 CA Primary
MOHS-Micrographic Surgery Physician 207ND0101X A167878 CA

Addresses

Primary practice location

6574 Oakmont Dr Ste B
Santa Rosa, CA 95409-5958

Mailing address

4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450
Phone (561) 948-0291

Other practice location 1

701 E El Camino Real
Mountain View, CA 94040-2833
Phone (650) 934-7676

Other practice location 2

555 S Dora St
Ukiah, CA 95482-5424
Phone (707) 462-3996

Other practice location 3

2725 Mendocino Ave
Santa Rosa, CA 95403-2805
Phone (707) 545-4537

Other names 1

  • Katherine Given Ligtenberg Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE)

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
I20220224001485 CA Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 5698065670 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
University of Chicago, Pritzker School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden State Dermatology Associates, Inc.Group PAC ID 1052418175, 118 clinicians
East Bay Dermatology Medical Group Inc.Group PAC ID 2466515580, 8 clinicians
Integrated Dermatology of Santa Rosa PCGroup PAC ID 4183033079, 6 clinicians
Zand Dermatology IncGroup PAC ID 5799042511, 3 clinicians

Practice addresses (Care Compare)

2490 Hospital Dr
Suite 201
Mountain View, CA 94040-4124
Phone (650) 962-4600

2557 Mowry Ave
Suite 25
Fremont, CA 94538-1614
Phone (510) 797-4111

2725 Mendocino Ave
Santa Rosa, CA 95403-2805
Phone (707) 545-4537

301 E St
Healdsburg, CA 95448-4116
Phone (707) 433-4239

655 Redwood Hwy Frontage Rd
Suite 246
Mill Valley, CA 94941-3055
Phone (415) 301-5000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision50
Removal of skin lesions1-10
Removal of skin cancer370
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A167878CAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Dermatology Associates, Inc. Dermatology CurrentSince Mar 20, 2025 Accepting new patients
Integrated Dermatology of Santa Rosa, PC Dermatology CurrentSince Dec 1, 2025 Accepting new patients
Redwood Fam Dermatology Medical Associates - a Medical Corporation Dermatology CurrentSince Apr 1, 2025 Accepting new patients
Permanente Medical Group Inc Dermatology Current Accepting new patients
Golden State Dermatology Associates, Inc. CurrentSince Mar 20, 2025 Accepting new patients
Zand Dermatology Inc Dermatology CurrentSince Jun 1, 2025 Accepting new patients
Vail Reese Union Square Dermatology Dermatology Past Accepting new patients
Jacqueline M Calkin MD and Alison a Boudreaux MD a Professional Medica Dermatology Past Accepting new patients

Locations (25 of 28)

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

1200 Central Blvd
Ste D
Brentwood, CA 94513
Phone (925) 308-9510

301 East St
Healdsburg, CA 95448
Phone (707) 433-4239

388 E Yosemite Ave
Ste 100
Merced, CA 95340
Phone (209) 383-3456

410 E Yosemite Ave
Ste C
Merced, CA 95340
Phone (209) 205-2999

655 Redwood Hwy Frontage Rd
Ste 246
Mill Valley, CA 94941
Phone (415) 301-5000

2490 Hospital Dr
Ste 201
Mountain View, CA 94040
Phone (650) 285-4661

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

2625 Fair Oaks Blvd
Ste 1
Sacramento, CA 95864
Phone (916) 646-3376

5601 J St
Sacramento, CA 95819
Phone (916) 454-5922

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2625 Fair Oaks Blvd
Sacramento, CA 95864
Phone (916) 646-3376

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

276 Hospital Pkwy
San Jose, CA 95119
Phone (408) 362-4791

276 Hospital Pkwy
Bldg 13
San Jose, CA 95119

250 Hospital Pkwy
San Jose, CA 95119
Phone (408) 972-6320

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

6574 Oakmont Dr
Ste B
Santa Rosa, CA 95409
Phone (707) 579-4239

2725 Mendocino Ave
Santa Rosa, CA 95403
Phone (707) 542-6313

4739 Hoen Ave
Santa Rosa, CA 95405
Phone (707) 528-4239

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

555 S Dora St
Ukiah, CA 95482
Phone (707) 462-0581

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

Interoperability endpoints

  • Direct secure messaging: kgiven631157@hisp.ehr.sutterhealth.org
  • FHIR API: https://api.platform.athenahealth.com/16905/brand/1/csg/1/fhir/r4
  • Direct secure messaging: katherine.given.1@16905.direct.athenahealth.com

Organizations & group practices 9

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": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1124476296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-948-0291",
            "fax_number": "561-859-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6574 OAKMONT DR STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954095958",
            "telephone_number": "707-579-4239",
            "fax_number": "707-579-0459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 E El Camino Real",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940402833",
            "country_code": "US",
            "telephone_number": "650-934-7676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 S Dora St",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954825424",
            "country_code": "US",
            "telephone_number": "707-462-3996",
            "fax_number": "707-462-3362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2725 Mendocino Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954032805",
            "country_code": "US",
            "telephone_number": "707-545-4537",
            "fax_number": "707-545-6726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIVEN",
        "first_name": "KATHERINE",
        "middle_name": "MACAULEY LIGTENBERG",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-31",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125068796",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A167878",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A167878",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "250 Hospital Pkwy",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951191103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "LIGTENBERG",
            "middle_name": "GIVEN",
            "credential": "MD, PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.