Active NPI
Ernest Ivan Katler, M.D.
- Rheumatology Physician
- San Pablo, CA
National Provider Identifier
1184770638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- A24404
- Practice address
- 2101 Vale Road
Suite 101
San Pablo, CA 94806 - Phone
- (510) 620-0496
- Fax
- (510) 233-0538
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | A24404 | CA | Primary |
Addresses
Primary practice location
2101 Vale Road
Suite 101
San Pablo, CA 94806
Mailing address
2101 Vale Road
Suite101
San Pablo, CA 94806
Phone (510) 620-0496
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A244040 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A24404 | CA | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423612800000",
"number": "1184770638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 VALE ROAD",
"address_2": "SUITE101",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "94806",
"telephone_number": "510-620-0496",
"fax_number": "510-233-0538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 VALE ROAD",
"address_2": "SUITE 101",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "94806",
"telephone_number": "510-620-0496",
"fax_number": "510-233-0538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATLER",
"first_name": "ERNEST",
"middle_name": "IVAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2015-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "CA",
"license": "A24404",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A244040",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Pablo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.