Active NPI
Princess Annette Hatcher, D.P.M
- Foot & Ankle Surgery Podiatrist
- Corona, CA
National Provider Identifier
1194055293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E4862
- Practice address
- 520 Richey St
#212
Corona, CA 92879-6186 - Phone
- (909) 268-4577
- NPI assigned
- Jan 12, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E4862 | CA | Primary |
Addresses
Primary practice location
520 Richey St
#212
Corona, CA 92879-6186
Mailing address
212 Bailey St
Apt 204
Los Angeles, CA 90033-2460
Phone (909) 268-4577
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100717000222 | CA | Practitioner - Podiatry | 2961534581 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4862 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WT Health of California LLC | Current | Accepting new patients | |
| Home Foot Care, Inc. | Past | Accepting new patients | |
| Michael D. Kotzen, Inc. | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
11103 Venice Blvd
Los Angeles, CA 90034
Phone (310) 734-8526
Organizations & group practices 4
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.
-
- Podiatrist
- Van Nuys, CA
- NPI 1447480785
-
- Foot & Ankle Surgery Podiatrist
- Valley Village, CA
- NPI 1013105972
Foot & Ankle Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1194055293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 BAILEY ST",
"address_2": "APT 204",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900332460",
"telephone_number": "909-268-4577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 RICHEY ST",
"address_2": "#212",
"city": "CORONA",
"state": "CA",
"postal_code": "928796186",
"telephone_number": "909-268-4577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCHER",
"first_name": "PRINCESS",
"middle_name": "ANNETTE",
"name_prefix": "Dr.",
"credential": "D.P.M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-12",
"last_updated": "2026-02-12",
"certification_date": "2020-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E4862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.