Individual provider Active NPI

Katherine M. Stewart, PA-C

  • Physician Assistant
  • Escondido, CA
National Provider Identifier
1215480637
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA63066 Issued in CA
Practice address
2130 Citracado Pkwy
Escondido, CA 92029-4149
Phone
(760) 743-4789
Fax
(623) 873-8565
NPI assigned
Aug 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA63066 CA Primary
Medical Physician Assistant 363AM0700X 6456 AZ

Addresses

Primary practice location

2130 Citracado Pkwy
Escondido, CA 92029-4149

Mailing address

2130 Citracado Pkwy
Escondido, CA 92029-4149
Phone (760) 743-4789

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231128001164 CA Practitioner - Physician Assistant 4880974013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arch Health Partners IncGroup PAC ID 9931239027, 141 clinicians

Practice addresses (Care Compare)

15611 Pomerado Rd
Poway, CA 92064-2437
Phone (858) 675-3100

15611 Pomerado Rd
Suite 525
Poway, CA 92064-2439
Phone (858) 485-0050

2125 Citracado Pkwy
Escondido, CA 92029-4159

Hospital & facility affiliations

  • Palomar Health Downtown Campus Hospital, Escondido, CA, CCN 050115
  • Palomar Medical Center Poway Hospital, Poway, CA, CCN 050636

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63066CAMDMental Health Counselor
PA63066CAMDPhysician Assistant
6456AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arch Health Partners, Inc Medical CurrentSince Dec 4, 2023 Accepting new patients
Stewart Surgical PA, PLLC Medical Current Accepting new patients
District Medical Group, Inc Past Accepting new patients
VHS Acquisition Subsidiary Number 1 Inc Past Accepting new patients

Locations

2130 Citracado Pkwy
Ste 200
Escondido, CA 92029
Phone (760) 743-4789

2130 Citracado Pkwy
Ste 220
Escondido, CA 92029
Phone (619) 823-3146

2130 Citracado Pkwy
Escondido, CA 92029
Phone (858) 485-1111

15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900

Interoperability endpoints

  • Direct secure messaging: katherine.stewart.p1@direct.arch.nextgenshare.com

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.

Hospital & facility affiliations 2

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": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1215480637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 CITRACADO PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294149",
            "telephone_number": "760-743-4789",
            "fax_number": "760-743-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 CITRACADO PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294149",
            "telephone_number": "760-743-4789",
            "fax_number": "623-873-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KATHERINE",
        "middle_name": "M.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63066",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "6456",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.