Individual provider Active NPI

Katie Jean Cobb, PA-C

  • Physician Assistant
  • Monterey, CA
National Provider Identifier
1184213340
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
59801 Issued in CA
Practice address
2 Lower Ragsdale Dr Ste 160
Monterey, CA 93940-5840
Phone
(661) 600-7384
NPI assigned
Jan 13, 2021
Last updated
Jul 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 59801 CA Primary
Interventional Cardiology Physician 207RI0011X 59801 CA
Vascular Surgery Physician 2086S0129X 59801 CA

Addresses

Primary practice location

2 Lower Ragsdale Dr Ste 160
Monterey, CA 93940-5840

Mailing address

941 Ricardo Dr
Aromas, CA 95004-9699
Phone (661) 600-7384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211215000958 CA Practitioner - Physician Assistant 6608267216 Reassigns benefits to 2 organizations
I20260320001832 TX Practitioner - Physician Assistant 6608267216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
California University of Science and Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Questcare Medical Services PLLCGroup PAC ID 6204739402, 43 clinicians

Practice addresses (Care Compare)

7777 Forest LN
Dallas, TX 75230-2571
Phone (954) 939-5000

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
59801CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California CurrentSince Aug 18, 2023 Accepting new patients
Cep America-California CurrentSince Aug 18, 2023 Accepting new patients
Cep America-California CurrentSince Aug 18, 2023 Accepting new patients
Golden State Surgery Centers, LLC PastSince Sep 5, 2021 Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

Interoperability endpoints

  • Direct secure messaging: kcobb@trimed.direct-ci.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1184213340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 RICARDO DR",
            "city": "AROMAS",
            "state": "CA",
            "postal_code": "950049699",
            "telephone_number": "661-600-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LOWER RAGSDALE DR STE 160",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405840",
            "telephone_number": "661-600-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "KATIE",
        "middle_name": "JEAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "59801",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "59801",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "59801",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.