Individual provider Active NPI

Katrina Celeste Kaemmerer, D.O.

  • Pediatric Adolescent Medicine Physician
  • Rolling Hills Estates, CA
National Provider Identifier
1295950533
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
20A 8221 Issued in CA
Practice address
827 Deep Valley Dr
Suite # 310
Rolling Hills Estates, CA 90274-3647
Phone
(310) 544-0828
Fax
(310) 377-5536
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 20A 8221 CA Primary

Addresses

Primary practice location

827 Deep Valley Dr
Suite # 310
Rolling Hills Estates, CA 90274-3647

Mailing address

827 Deep Valley Dr
Suite # 310
Rolling Hills Estates, CA 90274-3647
Phone (310) 544-0828

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
20A 8221CAMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health System Southern California Past Accepting new patients
James H Flores Jr MD Inc Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295950533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 DEEP VALLEY DR",
            "address_2": "SUITE # 310",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743647",
            "telephone_number": "310-544-0828",
            "fax_number": "310-377-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 DEEP VALLEY DR",
            "address_2": "SUITE # 310",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902743647",
            "telephone_number": "310-544-0828",
            "fax_number": "310-377-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAEMMERER",
        "first_name": "KATRINA",
        "middle_name": "CELESTE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "20A 8221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Hills Estates, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.