Individual provider Active NPI

Katrina Del Biaggio

  • Physician Assistant
  • Eureka, CA
National Provider Identifier
1295301844
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA59608 Issued in CA
Practice address
2460 Buhne St
Eureka, CA 95501-3207
Phone
(707) 441-1911
NPI assigned
Jun 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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
Physician Assistant 363A00000X PA59608 CA Primary

Addresses

Primary practice location

2460 Buhne St
Eureka, CA 95501-3207

Mailing address

2460 Buhne St
Eureka, CA 95501-3207
Phone (707) 498-8118

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kpfannenstiel1757057@oc.providencedirect.org

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
I20210618001865 CA Practitioner - Physician Assistant 3173923760 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Pacific Dermatology a Medical CorporationGroup PAC ID 4981704723, 7 clinicians

Practice addresses (Care Compare)

1575 S Railroad Ave
Crescent City, CA 95531-6821
Phone 7074648335212

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59608CAMDDentist
PA59608CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Jun 14, 2021 Accepting new patients
Providence Medical Foundation CurrentSince Jun 14, 2021 Accepting new patients

Locations

2460 Buhne St
Eureka, CA 95501
Phone (707) 441-1911

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

Interoperability endpoints

  • Direct secure messaging: kpfannenstiel1757057@oc.providencedirect.org

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 1

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": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1295301844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 BUHNE ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013207",
            "telephone_number": "707-498-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 BUHNE ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013207",
            "telephone_number": "707-441-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL BIAGGIO",
        "first_name": "KATRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA59608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpfannenstiel1757057@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2460 Buhne St",
            "city": "Eureka",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955013207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.