Active NPI
Emmanuel P Katsaros, D.O.
- Rheumatology Physician
- Pomona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 20A6857
- Practice address
- 795 E 2ND St Ste 7
Pomona, CA 91766-2007 - Phone
- (909) 865-2565
- Fax
- (909) 865-2955
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 20A6857 | CA | Primary |
Addresses
Primary practice location
795 E 2ND St Ste 7
Pomona, CA 91766-2007
Mailing address
795 E 2ND St
Suite 5
Pomona, CA 91766-2007
Phone (909) 865-2565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX86570 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
26600 Cactus Ave
Moreno Valley, CA 92555-3901
795 E 2ND St
Pomona, CA 91766-2007
Phone (909) 469-8673
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.49 of 100
- Quality
- 68.78
- Improvement activities
- 40
- Cost
- 78.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6857 | CA | MD | Mental Health Counselor |
| 20A6857 | CA | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Riverside | Current | Accepting new patients | |
| County of Riverside | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Western University of Health Sciences | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Western University of Health Sciences | Rheumatology | Current | Accepting new patients |
| Western University of Health Sciences | Current | Accepting new patients | |
| County of Riverside | Current | Accepting new patients | |
| San Antonio Regional Hospital | Past | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients | |
| Pomona Valley Hospital Medical Center | Past | Accepting new patients | |
| Loma Linda University Medical Center | Past | Accepting new patients |
Locations
11370 Anderson St
Ste 31503625
Loma Linda, CA 92354
Phone (909) 558-2191
11370 Anderson St
Ste 3300
Loma Linda, CA 92354
Phone (909) 478-6191
11370 Anderson St
#3300
Loma Linda, CA 92354
Phone (909) 558-2799
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
26600 Cactus Ave
Ste 300
Moreno Valley, CA 92555
Phone (800) 720-9553
308 E San Jacinto Ave
Perris, CA 92570
Phone (951) 940-6700
795 E 2nd St
Ste 8
Pomona, CA 91766
Phone (909) 469-8673
795 E 2nd St
Ste 7
Pomona, CA 91766
Phone (909) 469-8673
795 E 2nd St
Ste 5
Pomona, CA 91766
Phone (909) 706-3877
8686 Haven Ave
Ste 200
Rancho Cucamonga, CA 91730
Phone (909) 706-3950
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 12
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.
-
- Federally Qualified Health Center (FQHC)
- Indio, CA
- NPI 1023122967
-
- Family Medicine Physician
- Pomona, CA
- NPI 1679515217
Rheumatology
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Federally Qualified Health Center (FQHC)
- Lake Elsinore, CA
- NPI 1396859179
-
- Clinical Medical Laboratory
- Riverside, CA
- NPI 1952496010
-
- Pediatric Urology Physician
- Loma Linda, CA
- NPI 1295900439
-
- Pharmacy
- Pomona, CA
- NPI 1295051779
-
- Podiatrist
- Pomona, CA
- NPI 1689996100
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1275582918
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1518067586
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Moreno Valley, CA
- NPI 1821159195
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1144240961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "795 E 2ND ST",
"address_2": "SUITE 5",
"city": "POMONA",
"state": "CA",
"postal_code": "917662007",
"telephone_number": "909-865-2565",
"fax_number": "909-865-2955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 E 2ND ST STE 7",
"city": "POMONA",
"state": "CA",
"postal_code": "917662007",
"telephone_number": "909-865-2565",
"fax_number": "909-865-2955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATSAROS",
"first_name": "EMMANUEL",
"middle_name": "P",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "CA",
"license": "20A6857",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX86570",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.