Individual provider Active NPI

John Milo Katana, M.D.

  • Family Medicine Physician
  • Mount Shasta, CA
National Provider Identifier
1215194733
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C133356 Issued in CA
Practice address
408 Pine St
Mount Shasta, CA 96067-2126
Phone
(530) 926-7196
Fax
(530) 926-1026
NPI assigned
May 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C133356 CA Primary
Family Medicine Physician 207Q00000X 036.125307 IL

Addresses

Primary practice location

408 Pine St
Mount Shasta, CA 96067-2126

Mailing address

408 Pine St
Mount Shasta, CA 96067-2126
Phone (530) 926-7196

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250813003498 CA Practitioner - Family Practice 3375732175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loyola University of Chicago, Stritch School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity HealthGroup PAC ID 2062320559, 88 clinicians

Practice addresses (Care Compare)

914 Pine St
Mount Shasta, CA 96067-2143
Phone (530) 926-7131

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C133356CAMDFamily Medicine Physician
036.125307ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health CurrentSince Jul 1, 2025 Accepting new patients
Dignity Health CurrentSince Jul 1, 2025 Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

914 Pine St
Mount Shasta, CA 96067
Phone (503) 926-6111

912 Pine St
Mount Shasta, CA 96067
Phone (530) 926-3653

408 Pine St
Mount Shasta, CA 96067
Phone (530) 926-3222

310 Hartnell Ave
Ste Ac
Redding, CA 96002
Phone (530) 225-6390

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476144000000",
    "number": "1215194733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 PINE ST",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672126",
            "telephone_number": "530-926-7196",
            "fax_number": "530-926-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 PINE ST",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672126",
            "telephone_number": "530-926-7196",
            "fax_number": "530-926-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATANA",
        "first_name": "JOHN",
        "middle_name": "MILO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2016-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C133356",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.125307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Shasta, CA

Sources for this page

Verify at the official NPI Registry.