Katherine Christine Redden, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA19354 Issued in CA

Practice address

24022 Calle de la Plata
Sutie 500
Laguna Hills, CA 92653-3626

Phone

(949) 837-1578

NPI assigned

Sep 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465171200000",
    "number": "1174710867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 BRISTOL ST",
            "address_2": "SUITE 600",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263093",
            "telephone_number": "714-445-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24022 CALLE DE LA PLATA",
            "address_2": "SUTIE 500",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533626",
            "telephone_number": "949-837-1578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDEN",
        "first_name": "KATHERINE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2016-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA19354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL BOARD",
            "identifier": "PA19354",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Carrol Reaves, PTA
• Rebecca O'Connell, LMFT
• Recovery Services Management LLC
• Mark J Redd, D.D.S
• Danielle Marie Reddel, LMFT
• David Norman Reed, PH.D., MFT, CEAP
• Wendi Jazmin Regalado Rayo
• Carissa Lee Regan, D.P.T.
• Rehab Alliance
• Rehab Alliance

• Physician Assistant in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.